Individual provider · Type 1 NPI

Karen Lee Petty

Occupational Therapy Assistant · Gooding, ID

NPI number 1154873248 Active

Practice location

1220 Montana St, 101
Gooding, ID 83330-1856

Mailing address

4141 W Nez Perce St, Apt 324
Boise, ID 83705-2959

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA-1626 (ID)

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 1154873248

Karen Lee Petty's National Provider Identifier is 1154873248, issued on Oct 25, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Gooding, ID. The record was last updated on Oct 25, 2016.