Individual provider · Type 1 NPI

Jacklyn Rachelle Boren, COTA/L

Occupational Therapy Assistant · San Tan Valley, AZ

NPI number 1174233084 Active

Practice location

43507 N Ironwood Dr
San Tan Valley, AZ 85140

Call (480) 757-2253 Map

Mailing address

6737 E Villeroy Cir
Mesa, AZ 85215-7734

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA-047153 (AZ)

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 1174233084

Jacklyn Rachelle Boren, COTA/L's National Provider Identifier is 1174233084, issued on Dec 1, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in San Tan Valley, AZ. The record was last updated on Dec 1, 2022.