Individual provider · Type 1 NPI

Brittany Nicole Haynes, COTA/L

Occupational Therapy Assistant · Mascoutah, IL

NPI number 1083364962 Active

Practice location

649 Legacy Pl
Mascoutah, IL 62258-2050

Mailing address

319 Quarry St
Staunton, IL 62088-1328

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.005750 (IL)

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 1083364962

Brittany Nicole Haynes, COTA/L's National Provider Identifier is 1083364962, issued on Mar 24, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Mascoutah, IL. The record was last updated on Dec 29, 2023.