Individual provider · Type 1 NPI

Mika Ley Cyrus Pacifico, OTR

Occupational Therapist · Fort Stewart, GA

NPI number 1154929941 Active · reactivated Sep 6, 2023

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X21681 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1154929941

Mika Ley Cyrus Pacifico, OTR's National Provider Identifier is 1154929941, issued on Oct 13, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fort Stewart, GA. The record was last updated on Mar 11, 2024.