Individual provider · Type 1 NPI

Nikki Summerville Stidham, COTA/L

Occupational Therapy Assistant · Berryville, AR

NPI number 1154797611 Active

Practice location

705 W College Ave
Berryville, AR 72616-3105

Mailing address

8 Twin Peak Dr
Holiday Island, AR 72631-4233

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOT-A952 (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 1154797611

Nikki Summerville Stidham, COTA/L's National Provider Identifier is 1154797611, issued on Aug 18, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Berryville, AR. The record was last updated on Jun 9, 2022.