Individual provider · Type 1 NPI

Samuel Mathis

Occupational Therapy Assistant · Pinckneyville, IL

NPI number 1235542176 Active

Practice location

101 W Parker St
Pinckneyville, IL 62274-1635

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.003628 (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 1235542176

Samuel Mathis's National Provider Identifier is 1235542176, issued on Jun 9, 2014. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Pinckneyville, IL. The record was last updated on Jun 9, 2014.