Individual provider · Type 1 NPI
Suzette Marie Shafer, COTA
Occupational Therapy Assistant · Decatur, IL
Practice location
1790 S. Fairview Ave.
Decatur, IL 62521
Mailing address
142 N Kenwood St
Argenta, IL 62501-8195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 057-003139 (IL) |
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 1104133099
Suzette Marie Shafer, COTA's National Provider Identifier is 1104133099, issued on Sep 13, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Decatur, IL. The record was last updated on Sep 13, 2010.