Individual provider · Type 1 NPI

Nicole Blackwell, COTA/L

Occupational Therapy Assistant · Concord, NC

NPI number 1366802704 Active

Practice location

815 Wentworth Dr NE
Concord, NC 28025-7812

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X9777 (NC)

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 1366802704

Nicole Blackwell, COTA/L's National Provider Identifier is 1366802704, issued on Feb 27, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Concord, NC. The record was last updated on Feb 27, 2016.