Individual provider · Type 1 NPI

Licata Jeane Wilson

Occupational Therapy Assistant · West Plains, MO

NPI number 1093054249 Active

Practice location

210 Davis Dr
West Plains, MO 65775-2241

Call (417) 256-2152 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2008023618 (MO)

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 1093054249

Licata Jeane Wilson's National Provider Identifier is 1093054249, issued on Feb 7, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in West Plains, MO. The record was last updated on Feb 7, 2013.