Individual provider · Type 1 NPI

Jana L. Mullinax, COTA/ L

Occupational Therapy Assistant · Centralia, IL

NPI number 1487947602 Active

Practice location

299 Swan Ave
Centralia, IL 62801-6127

Call (618) 533-4423 Map

Mailing address

PO Box 1946
Centralia, IL 62801-9127

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.001371 (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 1487947602

Jana L. Mullinax, COTA/ L's National Provider Identifier is 1487947602, issued on May 20, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Centralia, IL. The record was last updated on May 20, 2011.