Individual provider · Type 1 NPI

Mary S. Bautista, OTA

Occupational Therapy Assistant · Homer, AK

NPI number 1497639074 Active

Practice location

601 E Pioneer Ave Ste 203
Homer, AK 99603-7694

Call (907) 435-1907 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X242531 (AK)

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 1497639074

Mary S. Bautista, OTA's National Provider Identifier is 1497639074, issued on Aug 5, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Homer, AK. The record was last updated on Aug 5, 2025.