Individual provider · Type 1 NPI

Courtney M. Holloway, COTA

Occupational Therapy Assistant · Lawrenceville, IL

NPI number 1548725914 Active

Practice location

2101 James St
Lawrenceville, IL 62439-2027

Mailing address

402 N Jackson St
Palestine, IL 62451-1322

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.005072 (IL)

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 1548725914

Courtney M. Holloway, COTA's National Provider Identifier is 1548725914, issued on Feb 9, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lawrenceville, IL. The record was last updated on Feb 9, 2019.