Individual provider · Type 1 NPI

Erika Lynn Midock, COTA, CLT

Occupational Therapy Assistant · Savannah, GA

NPI number 1114691045 Active

Practice location

1170 Shawnee St
Savannah, GA 31419-1618

Mailing address

423 Scuffletown Rd
Guyton, GA 31312-6540

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA001823 (GA)

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 1114691045

Erika Lynn Midock, COTA, CLT's National Provider Identifier is 1114691045, issued on Aug 4, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Savannah, GA. The record was last updated on Aug 4, 2021.