Individual provider · Type 1 NPI

Martha J. Fugate

Occupational Therapy Assistant · Englewood, OH

NPI number 1063764074 Active

Practice location

600 W National Rd
Englewood, OH 45322-1469

Call (937) 836-3149 Map

Fax (937) 771-5422

Mailing address

2147 Coronette Ave
Dayton, OH 45414-4537

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X03403 (OH)

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 1063764074

Martha J. Fugate's National Provider Identifier is 1063764074, issued on Oct 15, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Englewood, OH. The record was last updated on Oct 15, 2012.