Individual provider · Type 1 NPI

Stacie Michelle Van Dam

Occupational Therapy Assistant · Dayton, OH

NPI number 1174008668 Active

Practice location

421 Towanda Cir
Dayton, OH 45431-2132

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X245809 (OR)

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 1174008668

Stacie Michelle Van Dam's National Provider Identifier is 1174008668, issued on Oct 1, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Dayton, OH. The record was last updated on Oct 1, 2018.