Individual provider · Type 1 NPI
Holly Georgiana Moore, COTA/L
Occupational Therapy Assistant · Tifton, GA
Practice location
1401 Tift Ave N Ste B
Tifton, GA 31794-3577
Fax (855) 565-1769
Mailing address
69 Atwater Rd
Tifton, GA 31794-8513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | OTA002554 (GA) |
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 1396455754
Holly Georgiana Moore, COTA/L's National Provider Identifier is 1396455754, issued on Nov 28, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Tifton, GA. The record was last updated on Nov 28, 2022.