Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mattie Elyse Green, COTA, L

Individual provider Occupational Therapy Assistant · NPI 1629668801

Mattie Elyse Green, COTA, L is an Occupational Therapy Assistant in Bentonville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2021
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

701 N Walton Blvd
Bentonville, AR 72712-4548
Phone: (479) 250-9838
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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 · Licence OT-A1462 (AR)

Record details

NPI number1629668801
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA , L
Sole proprietorYes
NPI enumeratedJanuary 21, 2021
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021

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