Individual provider · Type 1 NPI

Laci Paige Tecklenburg, COTA

Occupational Therapy Assistant · Pueblo, CO

NPI number 1053020198 Active

Practice location

4601 Eagleridge Pl Ste 140
Pueblo, CO 81008-4101

Fax (719) 253-7729

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA.0001605 (CO)

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 1053020198

Laci Paige Tecklenburg, COTA's National Provider Identifier is 1053020198, issued on Nov 17, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Pueblo, CO. The record was last updated on Nov 17, 2022.