Individual provider · Type 1 NPI

Mary Jo Theis, COTA

Occupational Therapy Assistant · Coon Rapids, MN

NPI number 1427272103 Active

Practice location

300 Coon Rapids Blvd NW
Coon Rapids, MN 55433-5643

Mailing address

12912 Van Buren St NE
Blaine, MN 55434-3258

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X200265 (MN)

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 1427272103

Mary Jo Theis, COTA's National Provider Identifier is 1427272103, issued on Apr 12, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Jul 8, 2007.