Individual provider · Type 1 NPI

Bethany Danielle Randall, COTA

Occupational Therapy Assistant · Jacksonville, IL

NPI number 1114651452 Active

Practice location

873 Grove St
Jacksonville, IL 62650-2828

Call (217) 479-3400 Map

Mailing address

1076 NE 475 Ave
White Hall, IL 62092-4024

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.005812 (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 1114651452

Bethany Danielle Randall, COTA's National Provider Identifier is 1114651452, issued on Jul 12, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Jacksonville, IL. The record was last updated on Jul 12, 2022.