Individual provider · Type 1 NPI

Carissa Joy Antezana, PTA

Occupational Therapy Assistant · Leonardtown, MD

NPI number 1568060739 Active

Practice location

25480 Point Lookout Rd Ste 200
Leonardtown, MD 20650-3801

Fax (240) 256-3612

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XA02694 (MD)

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 1568060739

Carissa Joy Antezana, PTA's National Provider Identifier is 1568060739, issued on Oct 11, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Leonardtown, MD. The record was last updated on Oct 11, 2020.