Individual provider · Type 1 NPI

Stacey M. Costich, OTA

Occupational Therapy Assistant · Medina, NY

NPI number 1497905251 Active

Practice location

12005 Telegraph Rd
Medina, NY 14103-9678

Mailing address

590 Fishers Station Dr Ste 130
Victor, NY 14564-9744

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X006251-1 (NY)
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 1497905251

Stacey M. Costich, OTA's National Provider Identifier is 1497905251, issued on Sep 29, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Medina, NY. The record was last updated on Feb 21, 2020.