Individual provider · Type 1 NPI

Indy Sullivan, COTA

Occupational Therapy Assistant · Oklahoma City, OK

NPI number 1174330088 Active

Practice location

3838 NW 36th St Ste 200
Oklahoma City, OK 73112-2916

Fax (405) 702-9031

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2690 (OK)

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 1174330088

Indy Sullivan, COTA's National Provider Identifier is 1174330088, issued on Dec 13, 2024. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 13, 2024.