Individual provider · Type 1 NPI

Jay Evan Walker, COTA-L

Occupational Therapy Assistant · Ridgeland, MS

NPI number 1306996996 Active

Practice location

711 Avignon Dr
Ridgeland, MS 39157-5120

Fax (601) 605-8869

Mailing address

16408 Highway 80
Hickory, MS 39332-3332

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XTA1619 (MS)

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 1306996996

Jay Evan Walker, COTA-L's National Provider Identifier is 1306996996, issued on Jan 12, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Ridgeland, MS. The record was last updated on Jul 8, 2007.