Individual provider · Type 1 NPI

Anna Marie Agoncillo

Occupational Therapy Assistant · Sacramento, CA

NPI number 1033638192 Active

Practice location

3400 Alta Arden Expy
Sacramento, CA 95825-2103

Call (916) 481-5500 Map

Mailing address

8400 Dara Way
Sacramento, CA 95828-6000

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA4050 (CA)

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 1033638192

Anna Marie Agoncillo's National Provider Identifier is 1033638192, issued on Sep 10, 2017. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Sacramento, CA. The record was last updated on Sep 10, 2017.