Individual provider · Type 1 NPI

Alicia Ranee Davidson-Creekmore, COTA/L

Occupational Therapy Assistant · Elkhart, IN

NPI number 1417549270 Active

Practice location

3109 E Bristol St
Elkhart, IN 46514-4372

Call (574) 584-3324 Map

Mailing address

110 Ems T17A Ln
Leesburg, IN 46538-9573

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32001873A (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 1417549270

Alicia Ranee Davidson-Creekmore, COTA/L's National Provider Identifier is 1417549270, issued on Feb 3, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Elkhart, IN. The record was last updated on Feb 3, 2021.