Individual provider · Type 1 NPI

Enamulhaq Mirzay, COTA

Occupational Therapy Assistant · Stockton, CA

NPI number 1497418610 Active

Practice location

1319 N Madison St
Stockton, CA 95202-1001

Call (209) 466-4341 Map

Mailing address

8575 Elk Grove Florin Rd Apt 310
Elk Grove, CA 95624-9543

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 1497418610

Enamulhaq Mirzay, COTA's National Provider Identifier is 1497418610, issued on Oct 14, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Stockton, CA. The record was last updated on Oct 14, 2021.