Individual provider · Type 1 NPI

Judith Susan Mystkowski, COTA

Occupational Therapy Assistant · Port Jefferson Station, NY

NPI number 1679291322 Active

Practice location

290 Norwood Ave
Port Jefferson Station, NY 11776-2562

Mailing address

170 Huber Ave
Holbrook, NY 11741-3217

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X008322-01 (NY)

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 1679291322

Judith Susan Mystkowski, COTA's National Provider Identifier is 1679291322, issued on Aug 18, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Aug 18, 2022.