Individual provider · Type 1 NPI

Lezeric Anzel Fallen, OTA

Occupational Therapy Assistant · Evansville, IN

NPI number 1194078972 Active

Practice location

1157 S Kentucky Ave
Evansville, IN 47714-2737

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32000566A (IN)

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 1194078972

Lezeric Anzel Fallen, OTA's National Provider Identifier is 1194078972, issued on Oct 18, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Evansville, IN. The record was last updated on Oct 18, 2012.