Individual provider · Type 1 NPI
Nicole Lee Gouldrup, COTA/L
Occupational Therapy Assistant · Westport, MA
Practice location
378 Horseneck Rd
Westport, MA 02790-1337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | OTA00842 (RI) |
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…
About NPI 1679028112
Nicole Lee Gouldrup, COTA/L's National Provider Identifier is 1679028112, issued on Aug 24, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Westport, MA. The record was last updated on Aug 24, 2016.