Healthcare Provider Details

I. General information

NPI: 1811427743
Provider Name (Legal Business Name): MEAGHAN ELIZABETH HOLMES FLETCHER OT, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEAGHAN ELIZABETH HOLMES

II. Dates (important events)

Enumeration Date: 06/13/2017
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date: 08/13/2019
Reactivation Date: 08/21/2019

III. Provider practice location address

801 COTTAGE DR
LITTLE ROCK AR
72205-5400
US

IV. Provider business mailing address

4301 W MARKHAM ST # 783
LITTLE ROCK AR
72205-7101
US

V. Phone/Fax

Practice location:
  • Phone: 501-686-8674
  • Fax:
Mailing address:
  • Phone: 501-686-8000
  • Fax: 501-526-5148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOTR4102
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTR4102
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: