Individual provider · Type 1 NPI

Shane Ball, COTA

Occupational Therapy Assistant · Ellsworth, ME

NPI number 1437715034 Active

Practice location

190 Bangor Rd
Ellsworth, ME 04605-3258

Fax (207) 664-0461

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOA3627 (ME)

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 1437715034

Shane Ball, COTA's National Provider Identifier is 1437715034, issued on May 20, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Ellsworth, ME. The record was last updated on May 20, 2019.