Individual provider · Type 1 NPI

Amanda J. Wiseman, OTA

Occupational Therapy Assistant · West Lafayette, IN

NPI number 1386900405 Active

Practice location

917 Sagamore Pkwy W
West Lafayette, IN 47906-1443

Call (765) 463-2200 Map

Fax (765) 463-3625

Mailing address

PO Box 4699
Lafayette, IN 47903-4699

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32002137A (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 1386900405

Amanda J. Wiseman, OTA's National Provider Identifier is 1386900405, issued on Apr 3, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in West Lafayette, IN. The record was last updated on Apr 3, 2012.