Individual provider · Type 1 NPI

Marilyn Domineck Pride, COTA

Occupational Therapy Assistant · Newport News, VA

NPI number 1386983070 Active

Practice location

12997 Nettles Dr
Newport News, VA 23602-6913

Call (757) 249-2699 Map

Fax (757) 249-5589

Mailing address

100 Dalzell Ct
Yorktown, VA 23693-2051

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X224Z00000X (VA)

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 1386983070

Marilyn Domineck Pride, COTA's National Provider Identifier is 1386983070, issued on Jan 31, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Newport News, VA. The record was last updated on Jan 31, 2013.