Individual provider · Type 1 NPI

Lori Sue Johnson, COTA/L

Occupational Therapy Assistant · Flagstaff, AZ

NPI number 1205010410 Active

Practice location

3150 N Winding Brook Rd
Flagstaff, AZ 86001-0972

Call (928) 774-7106 Map

Mailing address

1718 N Fort Valley Rd, Apt. 126
Flagstaff, AZ 86001-1290

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2514 (AZ)

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 1205010410

Lori Sue Johnson, COTA/L's National Provider Identifier is 1205010410, issued on Dec 24, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Flagstaff, AZ. The record was last updated on Dec 24, 2007.