Individual provider · Type 1 NPI

Lisa Ann Boldt, COTA

Occupational Therapy Assistant · West Des Moines, IA

NPI number 1427252592 Active

Practice location

1454 30th St Ste 103
West Des Moines, IA 50266-1312

Fax (515) 223-9625

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X00081 (IA)

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 1427252592

Lisa Ann Boldt, COTA's National Provider Identifier is 1427252592, issued on Jun 13, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in West Des Moines, IA. The record was last updated on Jul 8, 2007.