Individual provider · Type 1 NPI

Melissa Carol Randolph, COTA

Occupational Therapy Assistant · Lady Lake, FL

NPI number 1285935767 Active

Practice location

13940 N US Highway 441
Lady Lake, FL 32159-8908

Call (352) 750-1095 Map

Fax (352) 750-1096

Mailing address

8835 SE 158th St
Summerfield, FL 34491-9629

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA11420 (FL)

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 1285935767

Melissa Carol Randolph, COTA's National Provider Identifier is 1285935767, issued on Nov 15, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lady Lake, FL. The record was last updated on Jul 18, 2014.