Individual provider · Type 1 NPI

Katie Pruiksma, COTA/L

Occupational Therapy Assistant · Moore, SC

NPI number 1619420114 Active

Practice location

511 Sierra Ridge Ct
Moore, SC 29369-9383

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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 1619420114

Katie Pruiksma, COTA/L's National Provider Identifier is 1619420114, issued on Aug 1, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Moore, SC. The record was last updated on Aug 1, 2016.