Individual provider · Type 1 NPI

Marlea Tyler Pridemore, COTA

Occupational Therapy Assistant · Johnson City, TN

NPI number 1609442623 Active

Practice location

2412 Knob Creek Rd
Johnson City, TN 37604-2586

Call (423) 518-0002 Map

Mailing address

44 Knoll Dr Apt C2
Bristol, VA 24202-2769

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X3548 (TN)

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 1609442623

Marlea Tyler Pridemore, COTA's National Provider Identifier is 1609442623, issued on Jun 1, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Johnson City, TN. The record was last updated on Jun 1, 2021.