Individual provider · Type 1 NPI

Matthew Ryan Bullerman, COTA

Occupational Therapy Assistant · Mount Airy, NC

NPI number 1245796754 Active

Practice location

542 Allred Mill Rd
Mount Airy, NC 27030-2202

Mailing address

114 Wildcat Rd
Hillsville, VA 24343-1950

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000X0131000294 (VA)
Occupational Therapy Assistant Primary 224Z00000X9779 (NC)

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 1245796754

Matthew Ryan Bullerman, COTA's National Provider Identifier is 1245796754, issued on Feb 20, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Mount Airy, NC. The record was last updated on Feb 20, 2019.