Individual provider · Type 1 NPI

Marissa Graham, COTA

Occupational Therapy Assistant · Vancouver, WA

NPI number 1053108266 Active

Practice location

13413 NE Leroy Hagen Memorial Dr
Vancouver, WA 98684-5967

Call (360) 604-4000 Map

Mailing address

2000 Fairway Dr
Kelso, WA 98626-7900

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOC61663621 (WA)

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 1053108266

Marissa Graham, COTA's National Provider Identifier is 1053108266, issued on Apr 22, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Vancouver, WA. The record was last updated on Apr 22, 2025.