Individual provider · Type 1 NPI

Melissa Southard

Occupational Therapy Assistant · Canon City, CO

NPI number 1750778627 Active

Practice location

1401 Phay Ave
Canon City, CO 81212-2303

Call (719) 275-8656 Map

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000X6144 (AZ)
Occupational Therapy Assistant Primary 224Z00000X0000928 (CO)

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 1750778627

Melissa Southard's National Provider Identifier is 1750778627, issued on Apr 18, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Canon City, CO. The record was last updated on Jan 17, 2023.