Individual provider · Type 1 NPI

Juan F. Pardo, COTA/L

Occupational Therapy Assistant · Decatur, IL

NPI number 1447586979 Active

Practice location

444 W Harrison Ave
Decatur, IL 62526-4157

Call (217) 877-7333 Map

Fax (217) 872-6723

Mailing address

113 Pebble Beach Dr
Springfield, IL 62704-3151

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057000919 (IL)

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 1447586979

Juan F. Pardo, COTA/L's National Provider Identifier is 1447586979, issued on Oct 17, 2009. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Decatur, IL. The record was last updated on Oct 17, 2009.