Individual provider · Type 1 NPI

Lacy Hafen, COTA/L

Occupational Therapy Assistant · Wilsonville, OR

NPI number 1699130690 Active

Practice location

25117 SW Parkway Ave, Ste D
Wilsonville, OR 97070-9697

Call (971) 224-2040 Map

Mailing address

14775 W Yorkshire Dr
Surprise, AZ 85374-7224

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5656 (AZ)

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 1699130690

Lacy Hafen, COTA/L's National Provider Identifier is 1699130690, issued on Dec 18, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Wilsonville, OR. The record was last updated on Dec 18, 2015.