Individual provider · Type 1 NPI

Nicholas Tyler Peacock, L/COTA

Occupational Therapy Assistant · Champaign, IL

NPI number 1316528797 Active

Practice location

3001 Cherry Hills Dr
Champaign, IL 61822-7586

Call (217) 721-7799 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.005500 (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…

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About NPI 1316528797

Nicholas Tyler Peacock, L/COTA's National Provider Identifier is 1316528797, issued on Apr 18, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Champaign, IL. The record was last updated on Apr 18, 2021.