Individual provider · Type 1 NPI

Melissa Marie Tietze, COTA

Occupational Therapy Assistant · Benton, AR

NPI number 1053621201 Active

Practice location

17706 I-30 Ste 3
Benton, AR 72019-2930

Call (501) 315-4414 Map

Fax (501) 315-3467

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOT-A869 (AR)

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 1053621201

Melissa Marie Tietze, COTA's National Provider Identifier is 1053621201, issued on Oct 20, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Benton, AR. The record was last updated on Aug 19, 2014.