Individual provider · Type 1 NPI

Stacy James Rendon, COTA

Occupational Therapy Assistant · Madill, OK

NPI number 1629100524 Active

Practice location

210 Brookside Drive
Madill, OK 73446

Call (580) 795-2100 Map

Mailing address

PO Box 831
Madill, OK 73446-0831

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X905 (OK)

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 1629100524

Stacy James Rendon, COTA's National Provider Identifier is 1629100524, issued on Mar 9, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Madill, OK. The record was last updated on Jul 8, 2007.