Individual provider · Type 1 NPI

Anastasia Fe Daravong, COTA/L

Occupational Therapy Assistant · San Diego, CA

NPI number 1346656014 Active

Practice location

7850 Mission Center Ct, Suite 100
San Diego, CA 92108-1322

Mailing address

1130 S. Woodman St, Apt 14
San Diego, CA 92114

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2660 (CA)

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 1346656014

Anastasia Fe Daravong, COTA/L's National Provider Identifier is 1346656014, issued on Jul 2, 2014. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 2, 2014.