Individual provider · Type 1 NPI

Kaneisha Ingram, COTA

Occupational Therapy Assistant · Jackson, MS

NPI number 1083975320 Active

Practice location

1873 Longwood Dr
Jackson, MS 39212-2509

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XTA2678 (MS)

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 1083975320

Kaneisha Ingram, COTA's National Provider Identifier is 1083975320, issued on Jun 4, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Jackson, MS. The record was last updated on Jun 4, 2012.