Individual provider · Type 1 NPI

Andy Joe Gillum, COTA

Occupational Therapy Assistant · Portsmouth, OH

NPI number 1003047812 Active

Practice location

2125 Royce St
Portsmouth, OH 45662-4714

Call (740) 876-9232 Map

Fax (740) 876-9525

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA . 04143 (OH)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1003047812

Andy Joe Gillum, COTA's National Provider Identifier is 1003047812, issued on Jul 29, 2009. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Portsmouth, OH. The record was last updated on Jul 29, 2009.