Individual provider · Type 1 NPI

Eric Dybala

Occupational Therapy Assistant · Appleton, WI

NPI number 1003221888 Active

Practice location

3538 Northridge Ct
Appleton, WI 54914-6738

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000X5068-27 (WI)
Occupational Therapy Assistant Primary 224Z00000XOTA22019 (NM)

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 1003221888

Eric Dybala's National Provider Identifier is 1003221888, issued on Jun 30, 2014. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Appleton, WI. The record was last updated on Jan 25, 2023.