Individual provider · Type 1 NPI

Heather Elizabeth Conklin, COTA/L

Occupational Therapy Assistant · Palm Coast, FL

NPI number 1093369290 Active

Practice location

15 Cypress Branch Way Ste 207D
Palm Coast, FL 32164-8414

Fax (386) 585-7017

Mailing address

1 Blakemore Dr
Palm Coast, FL 32137-7336

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X17363 (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 1093369290

Heather Elizabeth Conklin, COTA/L's National Provider Identifier is 1093369290, issued on Jul 26, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Palm Coast, FL. The record was last updated on Jul 26, 2019.