Individual provider · Type 1 NPI

Tristan Faith Brock, COTA/L

Occupational Therapy Assistant · La Follette, TN

NPI number 1669716023 Active

Practice location

136 Davis Ln
La Follette, TN 37766-3118

Call (423) 494-0550 Map

Mailing address

2705 Pinecrest Rd
Jacksboro, TN 37757-3103

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1588 (TN)

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 1669716023

Tristan Faith Brock, COTA/L's National Provider Identifier is 1669716023, issued on Nov 23, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in La Follette, TN. The record was last updated on Nov 23, 2012.