Individual provider · Type 1 NPI

Marvin Ira Green, COTA

Occupational Therapy Assistant · Twentynine Palms, CA

NPI number 1053467035 Active

Practice location

5930 Adobe Rd
Twentynine Palms, CA 92277-2356

Call (760) 367-1743 Map

Fax (760) 367-1083

Mailing address

PO Box 34, 5462 Roy Rogers Road
Pioneertown, CA 92268-0034

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA552 (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 1053467035

Marvin Ira Green, COTA's National Provider Identifier is 1053467035, issued on Jan 25, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Twentynine Palms, CA. The record was last updated on Jul 8, 2007.