Individual provider · Type 1 NPI

Tyler Scott Lacertosa, OTD

Occupational Therapist · Daytona Beach, FL

NPI number 1003316274 Active

Practice location

201 N Clyde Morris Blvd Ste 300
Daytona Beach, FL 32114-2765

Mailing address

3901 University Blvd S
Jacksonville, FL 32216-4312

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X18954 (FL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1003316274

Tyler Scott Lacertosa, OTD's National Provider Identifier is 1003316274, issued on Feb 14, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Feb 14, 2018.