Individual provider · Type 1 NPI

Junior Formukong Mbipeh, COTA/L

Occupational Therapy Assistant · Newtown Square, PA

NPI number 1144975178 Active

Practice location

3500 W Chester Pike
Newtown Square, PA 19073-4101

Mailing address

110 Northwest 135th Way, Bldg. 46 Apt 301
Plantation, FL 33325

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X18734 (FL)

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 1144975178

Junior Formukong Mbipeh, COTA/L's National Provider Identifier is 1144975178, issued on Feb 17, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Newtown Square, PA. The record was last updated on Apr 30, 2024.