Individual provider · Type 1 NPI

Elyse Amanda Smith, COTA/L

Occupational Therapy Assistant · Medford, OR

NPI number 1114690625 Active

Practice location

835 Crater Lake Ave
Medford, OR 97504-6505

Call (541) 773-7717 Map

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X357472 (OR)

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 1114690625

Elyse Amanda Smith, COTA/L's National Provider Identifier is 1114690625, issued on Jul 29, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Medford, OR. The record was last updated on Jul 29, 2021.