Individual provider · Type 1 NPI

Theresa Lynn Bergman, COTA

Occupational Therapy Assistant · Avilla, IN

NPI number 1427644756 Active

Practice location

515 N Main St
Avilla, IN 46710-9601

Mailing address

PO Box 182
Auburn, IN 46706-0182

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32002091A (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 1427644756

Theresa Lynn Bergman, COTA's National Provider Identifier is 1427644756, issued on Dec 21, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Avilla, IN. The record was last updated on Dec 21, 2020.