Individual provider · Type 1 NPI

Shondel Gough, COTA/L

Occupational Therapy Assistant · Midvale, UT

NPI number 1366619256 Active

Practice location

7442 S 240 E
Midvale, UT 84047-2191

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5341395-4202 (UT)

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 1366619256

Shondel Gough, COTA/L's National Provider Identifier is 1366619256, issued on May 10, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Midvale, UT. The record was last updated on May 10, 2008.