Individual provider · Type 1 NPI

Katherine Miedema, COTA

Occupational Therapy Assistant · Orland Park, IL

NPI number 1114133170 Active

Practice location

16170 Kingsport Rd
Orland Park, IL 60467-5602

Mailing address

245 N Lombard Ave
Lombard, IL 60148-2010

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 1114133170

Katherine Miedema, COTA's National Provider Identifier is 1114133170, issued on May 15, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Orland Park, IL. The record was last updated on Jul 8, 2007.