Individual provider · Type 1 NPI

Amy Anna Jacob, COTA

Occupational Therapy Assistant · Lone Rock, WI

NPI number 1730347006 Active

Practice location

27672 Onion Hollow Lane
Lone Rock, WI 53556-9002

Mailing address

27672 Onion Hollow Ln
Lone Rock, WI 53556-9002

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X899027 (WI)

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 1730347006

Amy Anna Jacob, COTA's National Provider Identifier is 1730347006, issued on May 23, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lone Rock, WI. The record was last updated on May 23, 2008.