Individual provider · Type 1 NPI

Lisa Dawn Kubow, COTA/L

Occupational Therapy Assistant · Carmi, IL

NPI number 1578879342 Active

Practice location

216 College Blvd
Carmi, IL 62821-1548

Call (618) 382-5125 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.003117 (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 1578879342

Lisa Dawn Kubow, COTA/L's National Provider Identifier is 1578879342, issued on Aug 31, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Carmi, IL. The record was last updated on Aug 31, 2010.