Individual provider · Type 1 NPI

Sue E. Gonzalez Willis, COTA

Occupational Therapy Assistant · Fort Stewart, GA

NPI number 1033639901 Active

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Call (912) 348-6376 Map

Mailing address

241 Flint Creek Dr
Richmond Hill, GA 31324-3716

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA002003 (GA)

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 1033639901

Sue E. Gonzalez Willis, COTA's National Provider Identifier is 1033639901, issued on Jun 22, 2017. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fort Stewart, GA. The record was last updated on Jun 22, 2017.