Individual provider · Type 1 NPI

Felecia Marie Ivanuck, COTA/L

Occupational Therapy Assistant · Godfrey, IL

NPI number 1346906013 Active

Practice location

812 Airport Rd
Godfrey, IL 62035-2920

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.005215 (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 1346906013

Felecia Marie Ivanuck, COTA/L's National Provider Identifier is 1346906013, issued on Nov 16, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Godfrey, IL. The record was last updated on Nov 16, 2021.