Individual provider · Type 1 NPI

George Stephen Gustovich, COTA/L

Occupational Therapy Assistant · Niles, OH

NPI number 1093068165 Active

Practice location

133 George St
Niles, OH 44446-2725

Call (330) 652-4247 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X03634 (OH)
Occupational Therapy Assistant 224Z00000XOP007218 (PA)

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 1093068165

George Stephen Gustovich, COTA/L's National Provider Identifier is 1093068165, issued on Oct 26, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Niles, OH. The record was last updated on Oct 26, 2012.