Individual provider · Type 1 NPI

Stacy Blider, COTA

Occupational Therapy Assistant · Momence, IL

NPI number 1285096768 Active

Practice location

932 Louise Dr
Momence, IL 60954

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057002262 (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…

About NPI 1285096768

Stacy Blider, COTA's National Provider Identifier is 1285096768, issued on Mar 24, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Momence, IL. The record was last updated on Mar 24, 2016.