Individual provider · Type 1 NPI

Jenifer Mandeville, COTA

Occupational Therapy Assistant · Wichita, KS

NPI number 1528488582 Active

Practice location

2114 N 127th St E
Wichita, KS 67206-3003

Call (316) 500-8800 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X18-00199 (KS)

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 1528488582

Jenifer Mandeville, COTA's National Provider Identifier is 1528488582, issued on Apr 17, 2014. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Wichita, KS. The record was last updated on Jan 14, 2015.