Individual provider · Type 1 NPI

Misty Dawn Allen, COTA

Occupational Therapy Assistant · Lafayette, IN

NPI number 1477805075 Active

Practice location

250 Shenandoah Dr Apt 36
Lafayette, IN 47905-5931

Fax (800) 805-4620

Mailing address

4644 W 375 N
Delphi, IN 46923-9176

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32001884A (IN)

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 1477805075

Misty Dawn Allen, COTA's National Provider Identifier is 1477805075, issued on Oct 5, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lafayette, IN. The record was last updated on Sep 24, 2019.