Individual provider · Type 1 NPI

Constance Sue Moug, COTA

Occupational Therapy Assistant · Ypsilanti, MI

NPI number 1669781126 Active

Practice location

8380 Geddes Rd
Ypsilanti, MI 48198-9404

Mailing address

8380 Geddes
Ypsilanti, MI 48198

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202001334 (MI)

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 1669781126

Constance Sue Moug, COTA's National Provider Identifier is 1669781126, issued on Oct 1, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Ypsilanti, MI. The record was last updated on Oct 1, 2010.