Individual provider · Type 1 NPI

Diane Marie Craddock, COTA/L

Occupational Therapy Assistant · Glenville, WV

NPI number 1063003531 Active

Practice location

111 Fairground Rd
Glenville, WV 26351-1388

Call (304) 462-5718 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XC2094 (WV)

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 1063003531

Diane Marie Craddock, COTA/L's National Provider Identifier is 1063003531, issued on Jan 28, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Glenville, WV. The record was last updated on Jan 28, 2021.