Individual provider · Type 1 NPI

Fanny Bristol, COTA

Occupational Therapy Assistant · Dalhart, TX

NPI number 1003222530 Active

Practice location

115 E Texas Blvd
Dalhart, TX 79022-4319

Mailing address

PO Box 18
Grand Island, NE 68802-0018

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X215641 (TX)
Occupational Therapy Assistant 224Z00000X933 (NE)

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 1003222530

Fanny Bristol, COTA's National Provider Identifier is 1003222530, issued on Jul 3, 2014. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Dalhart, TX. The record was last updated on Nov 26, 2025.