Individual provider · Type 1 NPI

Theresa Banzuela, COTA/L

Occupational Therapy Assistant · Chicago, IL

NPI number 1205317567 Active

Practice location

5320 W Fletcher St
Chicago, IL 60641-4944

Call (773) 971-3352 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.004963 (IL)

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 1205317567

Theresa Banzuela, COTA/L's National Provider Identifier is 1205317567, issued on Aug 24, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 24, 2018.