Individual provider · Type 1 NPI

Martin Joseph Diedrich, COTA

Occupational Therapy Assistant · Fort Wayne, IN

NPI number 1376845214 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Fax (260) 421-1821

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32001469A (IN)

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 1376845214

Martin Joseph Diedrich, COTA's National Provider Identifier is 1376845214, issued on Nov 29, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 29, 2010.