Individual provider · Type 1 NPI

Shannon R. Manigault, COTA/L

Occupational Therapy Assistant · Yuma, AZ

NPI number 1508256728 Active

Practice location

400 W 5th St
Yuma, AZ 85364-2945

Call (928) 502-7811 Map

Fax (928) 502-7818

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X6063 (AZ)
Occupational Therapy Assistant 224Z00000XOTA13855-18960 (FL)

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 1508256728

Shannon R. Manigault, COTA/L's National Provider Identifier is 1508256728, issued on Jan 26, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Yuma, AZ. The record was last updated on Jan 26, 2015.