Individual provider · Type 1 NPI

Justice Divine Newsome, COTA/L

Occupational Therapy Assistant · Wake Forest, NC

NPI number 1467209601 Active

Practice location

1317 Legacy Falls Dr Apt 207
Wake Forest, NC 27587-1794

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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 1467209601

Justice Divine Newsome, COTA/L's National Provider Identifier is 1467209601, issued on May 6, 2024. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Wake Forest, NC. The record was last updated on May 8, 2024.