Individual provider · Type 1 NPI

Shelley Whitehead, COTA/L

Occupational Therapy Assistant · Imperial, MO

NPI number 1730537077 Active

Practice location

5157 US Highway 61 67
Imperial, MO 63052-1606

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2015001890 (MO)
Occupational Therapy Assistant 224Z00000X057.004242 (IL)

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 1730537077

Shelley Whitehead, COTA/L's National Provider Identifier is 1730537077, issued on May 26, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Imperial, MO. The record was last updated on May 26, 2016.