Individual provider · Type 1 NPI

Shari Siddall, COTA/L-CLT

Occupational Therapy Assistant · Traverse City, MI

NPI number 1104328608 Active

Practice location

1105 6th St
Traverse City, MI 49684-2345

Mailing address

4408 N 45 1/2 Rd
Manton, MI 49663-9436

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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 1104328608

Shari Siddall, COTA/L-CLT's National Provider Identifier is 1104328608, issued on Mar 1, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Traverse City, MI. The record was last updated on Mar 1, 2018.