Individual provider · Type 1 NPI

John Broome Ii, COTA/L

Occupational Therapy Assistant · Trinity, NC

NPI number 1568802437 Active

Practice location

116 Lane Dr
Trinity, NC 27370-9343

Mailing address

136 Mackwood Rd
Mooresville, NC 28115-7819

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X8726 (NC)

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 1568802437

John Broome Ii, COTA/L's National Provider Identifier is 1568802437, issued on Jun 25, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Trinity, NC. The record was last updated on Jun 25, 2013.