Individual provider · Type 1 NPI
Mary Agnes Pavao, COTA/L
Occupational Therapy Assistant · St. Petersburg, FL
Practice location
1904 Glen Lakes Cir. N., Therapy Playhouse
St. Petersburg, FL 33702
Mailing address
894 Henrico Ct
Newport News, VA 23608-9320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | OTA 10884 (FL) |
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 1356576862
Mary Agnes Pavao, COTA/L's National Provider Identifier is 1356576862, issued on May 28, 2009. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in St. Petersburg, FL. The record was last updated on May 28, 2009.