Individual provider · Type 1 NPI

Melissa Rose Shea, COTA

Occupational Therapy Assistant · Byron, WI

NPI number 1104171305 Active

Practice location

N3015 Hickory Rd
Byron, WI 53006-1126

Fax (920) 482-1273

Mailing address

414 Brookridge St
Allouez, WI 54301-2132

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4824-27 (WI)

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 1104171305

Melissa Rose Shea, COTA's National Provider Identifier is 1104171305, issued on Jul 13, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Byron, WI. The record was last updated on Jul 13, 2012.