Individual provider · Type 1 NPI

Shelly Moore, COTA/L

Occupational Therapy Assistant · Bothell, WA

NPI number 1730535022 Active

Practice location

18504 Bothell Way NE
Bothell, WA 98011-1927

Call (425) 481-1933 Map

Fax (425) 481-9371

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOC 60597494 (WA)

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 1730535022

Shelly Moore, COTA/L's National Provider Identifier is 1730535022, issued on May 5, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Bothell, WA. The record was last updated on May 5, 2016.