Individual provider · Type 1 NPI

Angela Joan Shupak, COTA

Occupational Therapist · Kilgore, TX

NPI number 1669679452 Active

Practice location

1901 Whipporwill Ln
Kilgore, TX 75662-3880

Mailing address

7508 County Road 296 E
Kilgore, TX 75662-1568

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X209497 (TX)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1669679452

Angela Joan Shupak, COTA's National Provider Identifier is 1669679452, issued on Jun 27, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Kilgore, TX. The record was last updated on Jul 8, 2007.