Individual provider · Type 1 NPI
Otavia Jack
Occupational Therapy Assistant · Kissimmee, FL
Practice location
311 Salmon Ct
Kissimmee, FL 34759-4724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | None 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 1104389634
Otavia Jack's National Provider Identifier is 1104389634, issued on Apr 11, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Kissimmee, FL. The record was last updated on Apr 11, 2019.