Individual provider · Type 1 NPI

Stacy M. Swan, COTA

Occupational Therapy Assistant · Pittsfield, IL

NPI number 1659845774 Active

Practice location

610 Lowry St
Pittsfield, IL 62363-1768

Mailing address

PO Box 165
Hardin, IL 62047-0165

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057004981 (IL)

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 1659845774

Stacy M. Swan, COTA's National Provider Identifier is 1659845774, issued on Jan 11, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Pittsfield, IL. The record was last updated on Jan 11, 2019.