Individual provider · Type 1 NPI

Rolando Alicea, COTA

Occupational Therapy Assistant · Portage, IN

NPI number 1568652170 Active

Practice location

6040 Lute Rd
Portage, IN 46368-5008

Fax (219) 763-4858

Mailing address

1500 State St
Hobart, IN 46342

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32001127A (IN)

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 1568652170

Rolando Alicea, COTA's National Provider Identifier is 1568652170, issued on Jul 30, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Portage, IN. The record was last updated on Jul 30, 2007.