Individual provider · Type 1 NPI

Daniel A. Crockett, COTA

Occupational Therapy Assistant · Martin, TN

NPI number 1073727871 Active

Practice location

640 Hannings Ln
Martin, TN 38237-3308

Call (731) 587-3193 Map

Fax (731) 588-2732

Mailing address

804 Sunset Dr
Madisonville, KY 42431-1841

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X0000001524 (TN)

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 1073727871

Daniel A. Crockett, COTA's National Provider Identifier is 1073727871, issued on May 10, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Martin, TN. The record was last updated on Jul 8, 2007.