Individual provider · Type 1 NPI

Kristina Anne Nickerson, COTA

Occupational Therapy Assistant · Garland, TX

NPI number 1275021164 Active

Practice location

930 W Centerville Rd Ste C
Garland, TX 75041-5854

Mailing address

4218 US Highway 80 E Apt 2067
Mesquite, TX 75149-1173

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X215045 (TX)

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 1275021164

Kristina Anne Nickerson, COTA's National Provider Identifier is 1275021164, issued on Apr 25, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Garland, TX. The record was last updated on Apr 25, 2018.