Individual provider · Type 1 NPI

Shannon Anne Mayse, C.O.T.A./L

Occupational Therapy Assistant · Ballwin, MO

NPI number 1154521078 Active

Practice location

501 Gatehall Ln
Ballwin, MO 63011-2720

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X004309 (MO)

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 1154521078

Shannon Anne Mayse, C.O.T.A./L's National Provider Identifier is 1154521078, issued on Jul 19, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Ballwin, MO. The record was last updated on Nov 29, 2012.