Individual provider · Type 1 NPI

Jacqueline Renee Harris, COTA/L

Occupational Therapy Assistant · Phoenix, AZ

NPI number 1205116589 Active

Practice location

7887 N 16th St, Unit #125
Phoenix, AZ 85020-4417

Call (419) 908-0892 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4860 (AZ)
Occupational Therapy Assistant 224Z00000X04337 (OH)
Occupational Therapy Assistant 224Z00000X52020007306 (MI)

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 1205116589

Jacqueline Renee Harris, COTA/L's National Provider Identifier is 1205116589, issued on Aug 18, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 18, 2011.