Individual provider · Type 1 NPI
Jimmy Dale Brannon, COTA, L
Occupational Therapy Assistant · Fordsville, KY
Practice location
313 Main
Fordsville, KY 42343
Mailing address
813 Broad St
Central, KY 42330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | A3397 (KY) |
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…
About NPI 1174720445
Jimmy Dale Brannon, COTA, L's National Provider Identifier is 1174720445, issued on Jun 29, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fordsville, KY. The record was last updated on Jul 8, 2007.