Individual provider · Type 1 NPI

Tanya Dawn Ballenger, COTA

Occupational Therapy Assistant · Beckley, WV

NPI number 1174867600 Active

Practice location

405 Stanaford Rd
Beckley, WV 25801-3143

Mailing address

40 Smokey Branch Rd
Danese, WV 25831-7720

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XC1512 (WV)

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 1174867600

Tanya Dawn Ballenger, COTA's National Provider Identifier is 1174867600, issued on Nov 21, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Beckley, WV. The record was last updated on Nov 21, 2012.