Individual provider · Type 1 NPI

George James Mata Jr., COTA/L

Occupational Therapy Assistant · Phoenix, AZ

NPI number 1023159779 Active

Practice location

10251 N 35th Ave
Phoenix, AZ 85051-1305

Call (602) 995-0867 Map

Mailing address

222 W Clarendon Ave Apt 207, Apt #207
Phoenix, AZ 85013-3487

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1917 (AZ)

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 1023159779

George James Mata Jr., COTA/L's National Provider Identifier is 1023159779, issued on Feb 8, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 5, 2015.