Individual provider · Type 1 NPI
Theresa Fairbanks, COTA/L
Occupational Therapy Assistant · Orange Park, FL
Practice location
1215 Kinsley Ave.
Orange Park, FL 32073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | OTA9801 (FL) |
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 1427398684
Theresa Fairbanks, COTA/L's National Provider Identifier is 1427398684, issued on Feb 26, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Orange Park, FL. The record was last updated on Feb 26, 2013.