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

Rebecca Declerk

Individual provider Occupational Therapist · NPI 1306383658

Rebecca Declerk is an Occupational Therapist in Bentonville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas and Arizona.

Licensed in
AR, AZ
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1307 SE 22nd St
Bentonville, AR 72712-6853
Phone: (870) 378-4558
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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 1235 (AR)
Occupational Therapist Taxonomy 225X00000X · Licence 6765 (AZ)

Record details

NPI number1306383658
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 25, 2017
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021
Mailing address22516 E Creosote Dr, Queen Creek, AZ 85142-8530

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