Individual provider · Type 1 NPI

Nicole Lynn Davis, COTA/L

Occupational Therapy Assistant · Kansas City, MO

NPI number 1508423385 Active

Practice location

128 N Hardesty Ave
Kansas City, MO 64123-1404

Mailing address

3920 SW Granite Ln
Lees Summit, MO 64082-4846

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2018029156 (MO)

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 1508423385

Nicole Lynn Davis, COTA/L's National Provider Identifier is 1508423385, issued on May 28, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Kansas City, MO. The record was last updated on May 28, 2019.