Individual provider · Type 1 NPI

Stacie T. Chan, COTA

Occupational Therapy Assistant · Garden Grove, CA

NPI number 1043593965 Active

Practice location

12881 Knott St Ste 103
Garden Grove, CA 92841-3939

Call (714) 892-6828 Map

Fax (714) 898-9720

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2215 (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 1043593965

Stacie T. Chan, COTA's National Provider Identifier is 1043593965, issued on Sep 27, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Garden Grove, CA. The record was last updated on Sep 27, 2011.