Individual provider · Type 1 NPI

Shasta Fisher, COTA/L

Occupational Therapy Assistant · Leesburg, FL

NPI number 1487046769 Active

Practice location

600 W North Blvd
Leesburg, FL 34748-5063

Call (352) 728-6636 Map

Fax (352) 728-1322

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA 12833 (FL)

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 1487046769

Shasta Fisher, COTA/L's National Provider Identifier is 1487046769, issued on Feb 24, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Leesburg, FL. The record was last updated on Feb 24, 2015.