Individual provider · Type 1 NPI

Jacob Stephen Lawrence, COTA

Occupational Therapy Assistant · Phoenix, AZ

NPI number 1043749302 Active

Practice location

3116 W. Hartford Dr.
Phoenix, AZ 85053

Mailing address

3116 W Hartford Dr
Phoenix, AZ 85053-1820

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X6921 (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 1043749302

Jacob Stephen Lawrence, COTA's National Provider Identifier is 1043749302, issued on Jun 8, 2017. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 21, 2022.