Individual provider · Type 1 NPI

Joy Susanne Moody, COTA

Occupational Therapy Assistant · Fordyce, AR

NPI number 1124177217 Active

Practice location

1717 Industrial Dr
Fordyce, AR 71742-7104

Fax (870) 352-8806

Mailing address

RR 1 Box 102
Thornton, AR 71766-9707

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XAT-443 (AR)

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 1124177217

Joy Susanne Moody, COTA's National Provider Identifier is 1124177217, issued on Jan 9, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fordyce, AR. The record was last updated on Jul 8, 2007.