Individual provider · Type 1 NPI

Theresa Peterson, COTA/L

Occupational Therapy Assistant · Fairlawn, OH

NPI number 1376454934 Active

Practice location

150 N Miller Rd Ste 150A
Fairlawn, OH 44333-3713

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000XOH3629105 (OH)
Occupational Therapy Assistant Primary 224Z00000XOTA009005 (OH)

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 1376454934

Theresa Peterson, COTA/L's National Provider Identifier is 1376454934, issued on Sep 14, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fairlawn, OH. The record was last updated on Sep 14, 2026.