Individual provider · Type 1 NPI

Mary Tanna Green, COTA

Occupational Therapy Assistant · Waco, TX

NPI number 1538033733 Active

Practice location

900 Washington Ave Ste 602
Waco, TX 76701-1283

Specialties and licenses

Taxonomy	Code	License
Occupational Therapy Assistant Primary	224Z00000X	216494 (TX)

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 1538033733

Mary Tanna Green, COTA's National Provider Identifier is 1538033733, issued on Oct 1, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Waco, TX. The record was last updated on Oct 1, 2025.