Individual provider · Type 1 NPI

Gayle Joleen Fothergill, COTA/L

Occupational Therapy Assistant · Coeur D Alene, ID

NPI number 1184882680 Active

Practice location

500 W Aqua Ave
Coeur D Alene, ID 83815-7764

Call (208) 762-1122 Map

Fax (208) 762-1680

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA-009 (ID)

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 1184882680

Gayle Joleen Fothergill, COTA/L's National Provider Identifier is 1184882680, issued on May 30, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on May 30, 2008.