Individual provider · Type 1 NPI

Jacklon Williams Tate, COTA

Occupational Therapy Assistant · Pulaski, TN

NPI number 1437233244 Active

Practice location

1245 E College St
Pulaski, TN 38478-4541

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X0533 (TN)

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 1437233244

Jacklon Williams Tate, COTA's National Provider Identifier is 1437233244, issued on Oct 25, 2006. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Pulaski, TN. The record was last updated on Jul 8, 2007.