Individual provider · Type 1 NPI
James Michael Dibauda, OTRL
Occupational Therapist · Lagrange, GA
Practice location
202 Village Dr
Lagrange, GA 30240-8831
Fax (706) 884-6403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT004061 (GA) |
Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…
Another provider at this address
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About NPI 1356335293
James Michael Dibauda, OTRL's National Provider Identifier is 1356335293, issued on Sep 7, 2005. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Lagrange, GA. The record was last updated on Jul 9, 2007.