Individual provider · Type 1 NPI

Tywanna Shardae Blackwell, COTA/L

Occupational Therapy Assistant · Abbeville, SC

NPI number 1639869613 Active

Practice location

83 Thomson Cir
Abbeville, SC 29620-5652

Mailing address

104 Oakland Ave Apt 1401
Abbeville, SC 29620-2723

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5347 (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 1639869613

Tywanna Shardae Blackwell, COTA/L's National Provider Identifier is 1639869613, issued on May 11, 2023. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Abbeville, SC. The record was last updated on May 11, 2023.