Individual provider · Type 1 NPI

William David Pentecost, COTA

Occupational Therapy Assistant · Weiser, ID

NPI number 1033542196 Active

Practice location

331 E Park St
Weiser, ID 83672-2053

Fax (208) 549-0536

Mailing address

1486 W Colville Ct
Eagle, ID 83616-4869

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA-168 (ID)

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 1033542196

William David Pentecost, COTA's National Provider Identifier is 1033542196, issued on Aug 13, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Weiser, ID. The record was last updated on Aug 13, 2013.