Individual provider · Type 1 NPI

Glen Eugene Roderick, COTA/L

Occupational Therapy Assistant · Spanaway, WA

NPI number 1508034265 Active

Practice location

8606 196th St Ct E
Spanaway, WA 98387

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOC00001065 (WA)

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 1508034265

Glen Eugene Roderick, COTA/L's National Provider Identifier is 1508034265, issued on Feb 15, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Spanaway, WA. The record was last updated on Feb 15, 2008.