Individual provider · Type 1 NPI

Tracy Marie Daniels, COTA/L

Occupational Therapy Assistant · Decatur, IL

NPI number 1013164029 Active

Practice location

1790 S Fairview Ave
Decatur, IL 62521-4010

Fax (217) 422-6453

Mailing address

101 E Moultrie St
Bement, IL 61813-1542

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.002225 (IL)

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 1013164029

Tracy Marie Daniels, COTA/L's National Provider Identifier is 1013164029, issued on Aug 20, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Decatur, IL. The record was last updated on Aug 20, 2008.