Individual provider · Type 1 NPI

Dana Agenbroad

Occupational Therapy Assistant · Springfield, OR

NPI number 1578985461 Active

Practice location

1333 N 1st St
Springfield, OR 97477-3002

Call (541) 736-2728 Map

Mailing address

1358 32nd St
Springfield, OR 97478-5523

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1048112 (OR)

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 1578985461

Dana Agenbroad's National Provider Identifier is 1578985461, issued on Jan 10, 2014. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Springfield, OR. The record was last updated on Jan 10, 2014.