Individual provider · Type 1 NPI

Jessica Revells, COTA/L

Occupational Therapy Assistant · Fairbanks, AK

NPI number 1144669052 Active

Practice location

734 Manchester Loop
Fairbanks, AK 99712-1120

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2019 (AK)

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 1144669052

Jessica Revells, COTA/L's National Provider Identifier is 1144669052, issued on Jun 25, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fairbanks, AK. The record was last updated on Jun 25, 2013.