Individual provider · Type 1 NPI

Stephen Jae Nisewander

Occupational Therapy Assistant · Creswell, OR

NPI number 1659867042 Active

Practice location

735 S 2nd St
Creswell, OR 97426-7507

Mailing address

791 Throne Dr Apt 304
Eugene, OR 97402-7752

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 1659867042

Stephen Jae Nisewander's National Provider Identifier is 1659867042, issued on Jul 9, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Creswell, OR. The record was last updated on Jul 9, 2018.