Individual provider · Type 1 NPI

Shannon Whitacre

Occupational Therapy Assistant · Englewood, OH

NPI number 1720238280 Active

Practice location

425 Lauricella Ct
Englewood, OH 45322

Mailing address

11681 St Rt 718
Laura, OH 45337

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X03900 (OH)

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 1720238280

Shannon Whitacre's National Provider Identifier is 1720238280, issued on Sep 22, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Englewood, OH. The record was last updated on Sep 22, 2008.