Individual provider · Type 1 NPI

Shelly Ranae Waddle, OTA

Occupational Therapy Assistant · Oklahoma City, OK

NPI number 1730386756 Active

Practice location

1013 SW 128th St
Oklahoma City, OK 73170-6951

Mailing address

1013 S.w. 128 St
Okc, OK 73170

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X473 (OK)

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 1730386756

Shelly Ranae Waddle, OTA's National Provider Identifier is 1730386756, issued on Jul 2, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 8, 2007.