Individual provider · Type 1 NPI

Jodi Rae Hageman, COTA

Occupational Therapy Assistant · Glendale, AZ

NPI number 1255793063 Active

Practice location

4714 W Topeka Dr
Glendale, AZ 85308-4849

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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 1255793063

Jodi Rae Hageman, COTA's National Provider Identifier is 1255793063, issued on Mar 22, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Glendale, AZ. The record was last updated on Mar 22, 2016.