Individual provider · Type 1 NPI

Connie Fowlkes, COTA/L

Occupational Therapy Assistant · Columbus, MS

NPI number 1386005478 Active

Practice location

310 Emerald Dr
Columbus, MS 39702-5526

Call (662) 244-8823 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XTA3116 (MS)

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 1386005478

Connie Fowlkes, COTA/L's National Provider Identifier is 1386005478, issued on Mar 16, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Columbus, MS. The record was last updated on Mar 16, 2016.