Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ernest Bullock Jr., COTA

Individual provider Occupational Therapy Assistant · NPI 1407509094

Ernest Bullock Jr., COTA is an Occupational Therapy Assistant in West Memphis, Arkansas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

800 W Broadway St
West Memphis, AR 72301-2912
Phone: (870) 735-5174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X

Record details

NPI number1407509094
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedFebruary 2, 2022
Last updated in NPPESFebruary 2, 2022
Certification dateFebruary 2, 2022

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