Individual provider · Type 1 NPI

Brenda Marie Southerly, COTA

Occupational Therapy Assistant · Denver, CO

NPI number 1659696458 Active

Practice location

3915 Quitman St
Denver, CO 80212-2123

Mailing address

1623 Beulah Ave
Pueblo, CO 81004-2703

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 1659696458

Brenda Marie Southerly, COTA's National Provider Identifier is 1659696458, issued on Apr 5, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Denver, CO. The record was last updated on Apr 5, 2010.