Individual provider · Type 1 NPI

Nicole Rae Burkhart, COTA

Occupational Therapy Assistant · Peru, IN

NPI number 1295051019 Active

Practice location

1850 W Matador St
Peru, IN 46970-3711

Mailing address

5110 E 1000 N
Decatur, IN 46733-8152

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32001352A (IN)

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 1295051019

Nicole Rae Burkhart, COTA's National Provider Identifier is 1295051019, issued on Apr 19, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Peru, IN. The record was last updated on Apr 19, 2010.