Individual provider · Type 1 NPI

Johanna Gingras, COTA L

Occupational Therapy Assistant · Wayne, PA

NPI number 1578764692 Active

Practice location

30 West Ave
Wayne, PA 19087-3322

Fax (610) 995-1350

Mailing address

355 Garrison Way
Gulph Mills, PA 19428-2513

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOP003517L (PA)

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 1578764692

Johanna Gingras, COTA L's National Provider Identifier is 1578764692, issued on May 29, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Wayne, PA. The record was last updated on Jul 8, 2007.