Individual provider · Type 1 NPI

Mikelle Coleman Goodman

Occupational Therapy Assistant · Salt Lake City, UT

NPI number 1710489737 Active

Practice location

700 Foothill Blvd
Salt Lake City, UT 84113-1104

Call (801) 584-1900 Map

Mailing address

206 N 2100 W
Salt Lake City, UT 84116-4740

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X8106618-4202 (UT)

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 1710489737

Mikelle Coleman Goodman's National Provider Identifier is 1710489737, issued on Mar 6, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 6, 2018.