Individual provider · Type 1 NPI
Mallory Childress, COTA/L, B.I.S.
Occupational Therapy Assistant · Avondale, AZ
Practice location
12550 W Palm Ln
Avondale, AZ 85392-6594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 5379 (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 1053705806
Mallory Childress, COTA/L, B.I.S.'s National Provider Identifier is 1053705806, issued on Mar 18, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Avondale, AZ. The record was last updated on Mar 18, 2015.