Individual provider · Type 1 NPI

Mary Alicia Patillo, COTA

Occupational Therapy Assistant · Ecorse, MI

NPI number 1629349071 Active

Practice location

3964 17th St
Ecorse, MI 48229-1310

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202004214 (MI)

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…

About NPI 1629349071

Mary Alicia Patillo, COTA's National Provider Identifier is 1629349071, issued on Jan 17, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Ecorse, MI. The record was last updated on Jan 17, 2012.