Individual provider · Type 1 NPI

Tracy Lynn Stanley, COTA

Occupational Therapy Assistant · Herrin, IL

NPI number 1124276381 Active

Practice location

1901 N. 13th Street
Herrin, IL 62948

Fax (618) 942-8240

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057002839 (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 1124276381

Tracy Lynn Stanley, COTA's National Provider Identifier is 1124276381, issued on Aug 29, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Herrin, IL. The record was last updated on Aug 29, 2008.