Individual provider · Type 1 NPI

Stephanie Nichole Tucker, COTA

Occupational Therapy Assistant · Marion, IL

NPI number 1457953002 Active

Practice location

1301 E Deyoung St
Marion, IL 62959-3846

Call (618) 997-1365 Map

Mailing address

508 N Horn St
West Frankfort, IL 62896-1847

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000XNone listed
Occupational Therapy Assistant Primary 224Z00000X057.005508 (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 1457953002

Stephanie Nichole Tucker, COTA's National Provider Identifier is 1457953002, issued on Nov 9, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Marion, IL. The record was last updated on Nov 19, 2020.