Individual provider · Type 1 NPI

Samantha Shade Holman, COTA

Occupational Therapy Assistant · Colby, WI

NPI number 1073277380 Active

Practice location

702 W Dolf St
Colby, WI 54421-9604

Mailing address

10196 US Highway 10
Marshfield, WI 54449-8622

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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 1073277380

Samantha Shade Holman, COTA's National Provider Identifier is 1073277380, issued on Oct 25, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Colby, WI. The record was last updated on Nov 1, 2021.