Organization · Type 2 NPI

Southern Magnolia LLC

Occupational Therapy Assistant · Fort Myers, FL

NPI number 1114693579 Active

Practice location

12856 Banyan Creek Dr # 2
Fort Myers, FL 33908-3082

Mailing address

17165 John Morris Rd 291
Fort Myers, FL 33908

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed
Occupational Therapist 225X00000XNone listed
Pediatric Occupational Therapist 225XP0200XNone listed
Speech-Language Assistant 2355S0801XNone listed
Speech-Language Pathologist 235Z00000XNone 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…

About NPI 1114693579

Southern Magnolia LLC's National Provider Identifier is 1114693579, issued on Aug 17, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fort Myers, FL. The record was last updated on Feb 23, 2022.