Individual provider · Type 1 NPI

Gayla J. Nickel, COTA

Occupational Therapy Assistant · Springfield, IL

NPI number 1649399239 Active

Practice location

3132 Old Jacksonville Rd, Suite 140
Springfield, IL 62704-7400

Mailing address

2567 Marthas Ln
Ashland, IL 62612-8081

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 1649399239

Gayla J. Nickel, COTA's National Provider Identifier is 1649399239, issued on Mar 28, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Springfield, IL. The record was last updated on Jul 8, 2007.