Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicolette Sue Mourer, OT-A

Individual provider Occupational Therapy Assistant · NPI 1093494114

Mrs. Nicolette Sue Mourer, OT-A is an Occupational Therapy Assistant in Harrison, Arkansas. Practices as a sole proprietor. Licensed in Arkansas, Florida, Indiana and North Carolina and 2 more.

Licensed in
AR, FL, IN, NC, SC, TX
In the registry since
2023
Specialties on file
6
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Practice location Address checks out

3917 Keener Ln
Harrison, AR 72601-7522
Phone: (870) 302-9277
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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-A1950 (AR)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 32002317A (IN)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 217730 (TX)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 15631 (NC)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA19300 (FL)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 5499 (SC)

Record details

NPI number1093494114
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT-A
Sole proprietorYes
NPI enumeratedJuly 17, 2023
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

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