Healthcare Provider Details

I. General information

NPI: 1306242615
Provider Name (Legal Business Name): CORTNEY HAPNER OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CORTNEY DAILEY OTR

II. Dates (important events)

Enumeration Date: 11/13/2014
Last Update Date: 07/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S MCKINLEY ST
LITTLE ROCK AR
72205-5202
US

IV. Provider business mailing address

600 S MCKINLEY ST
LITTLE ROCK AR
72205-5202
US

V. Phone/Fax

Practice location:
  • Phone: 501-663-3647
  • Fax: 501-666-9653
Mailing address:
  • Phone: 501-663-3647
  • Fax: 501-666-9653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTR2736
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOTR2736
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: