Individual provider · Type 1 NPI

Shane Bradley, OTA

Occupational Therapy Assistant · Merritt Island, FL

NPI number 1093348922 Active

Practice location

1100 S Courtenay Pkwy
Merritt Island, FL 32952-3804

Mailing address

8477 S Suncoast Blvd
Homosassa, FL 34446-5028

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA17590 (FL)

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 1093348922

Shane Bradley, OTA's National Provider Identifier is 1093348922, issued on Feb 19, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Merritt Island, FL. The record was last updated on Feb 19, 2020.