Individual provider · Type 1 NPI

Jessica Lazos, COTA/L

Occupational Therapy Assistant · Clarksville, TN

NPI number 1508485160 Active

Practice location

215 Dunbar Cave Rd Ste A
Clarksville, TN 37043-8850

Call (931) 542-2739 Map

Mailing address

3901 Tyler Brown Dr
Clarksville, TN 37040-2568

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X3054 (TN)

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 1508485160

Jessica Lazos, COTA/L's National Provider Identifier is 1508485160, issued on Apr 14, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Clarksville, TN. The record was last updated on Apr 14, 2020.