Individual provider · Type 1 NPI

Stacey Michele Cole-Larson, COTA/L

Occupational Therapy Assistant · Englewood, NJ

NPI number 1750855789 Active

Practice location

175 W Hudson Ave
Englewood, NJ 07631-1609

Mailing address

61 Franklin St
Tenafly, NJ 07670-2006

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X46TA09025000 (NJ)

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 1750855789

Stacey Michele Cole-Larson, COTA/L's National Provider Identifier is 1750855789, issued on Jan 12, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Englewood, NJ. The record was last updated on Jan 12, 2019.