Individual provider · Type 1 NPI

Corley Brooks Lyle, COTA/L

Occupational Therapy Assistant · Ninety Six, SC

NPI number 1629796677 Active

Practice location

605 Johnston Rd
Ninety Six, SC 29666-1417

Mailing address

133 Devore Rd
Greenwood, SC 29649-9555

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5411 (SC)

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 1629796677

Corley Brooks Lyle, COTA/L's National Provider Identifier is 1629796677, issued on Aug 16, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Ninety Six, SC. The record was last updated on Aug 16, 2022.