Healthcare Provider Details

I. General information

NPI: 1871315028
Provider Name (Legal Business Name): MRS. BROOKE ANN FRANCOIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RIVERFRONT PL STE 615
NORTH LITTLE ROCK AR
72114-5650
US

IV. Provider business mailing address

1405 N CHERRY ST
HAMBURG AR
71646-2642
US

V. Phone/Fax

Practice location:
  • Phone: 501-725-0379
  • Fax:
Mailing address:
  • Phone: 318-381-1268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOT-A2045
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: