Individual provider · Type 1 NPI
Dawn Denise Ezelle, COTA
Occupational Therapy Assistant · Fort Worth, TX
Practice location
3400 Marine Drive
Fort Worth, TX 76135
Mailing address
1200 Dallas Dr, 1314
Denton, TX 76205-5151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 209409 (TX) |
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 1457570053
Dawn Denise Ezelle, COTA's National Provider Identifier is 1457570053, issued on Apr 24, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 8, 2007.