Individual provider · Type 1 NPI

Ian Michael Mangus, COTA/L

Occupational Therapy Assistant · Martinsburg, WV

NPI number 1376126516 Active

Practice location

2720 Charles Town Rd
Martinsburg, WV 25405-5626

Call (304) 263-0933 Map

Mailing address

12614 Mahogany St
Cumberland, MD 21502-5181

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000XA02877 (MD)
Occupational Therapy Assistant Primary 224Z00000XC2351 (WV)

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 1376126516

Ian Michael Mangus, COTA/L's National Provider Identifier is 1376126516, issued on May 5, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Martinsburg, WV. The record was last updated on May 5, 2021.