Individual provider · Type 1 NPI

Jesse Buckner, COTA/L

Occupational Therapy Assistant · Medford, OR

NPI number 1154951259 Active

Practice location

834 S Front St
Medford, OR 97502-2726

Mailing address

560 NE F St Ste A, #114
Grants Pass, OR 97526

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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 1154951259

Jesse Buckner, COTA/L's National Provider Identifier is 1154951259, issued on Jan 17, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Medford, OR. The record was last updated on Apr 4, 2020.