Individual provider · Type 1 NPI

Nanette Yvonne Iceberg, COTA

Occupational Therapy Assistant · Rising Sun, IN

NPI number 1407176423 Active

Practice location

405 Rio Vista Ln
Rising Sun, IN 47040-9497

Mailing address

13418 Aberdeen Rd
Dillsboro, IN 47018-5115

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32001804A (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 1407176423

Nanette Yvonne Iceberg, COTA's National Provider Identifier is 1407176423, issued on Jun 2, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Rising Sun, IN. The record was last updated on Jun 2, 2010.