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

Nicole Anne Bovkoon

Individual provider Occupational Therapist · NPI 1174802987

Nicole Anne Bovkoon is an Occupational Therapist in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2011.

Licensed in
AR
In the registry since
2011
Specialties on file
2

Practice location Address checks out

1301 Russell Rd
Russellville, AR 72802-4320
Phone: (479) 967-2316
Fax: (479) 967-3639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OTR2456 (AR)
Occupational Therapist Taxonomy 225X00000X · Licence O-T1144 (AR)

Record details

NPI number1174802987
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2011
Last updated in NPPESMarch 3, 2023
Certification dateMarch 3, 2023

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