Individual provider · Type 1 NPI

Jessica Black, COTA

Occupational Therapy Assistant · Titusville, FL

NPI number 1760046973 Active

Practice location

1705 Jess Parrish Ct
Titusville, FL 32796-2158

Call (321) 269-5720 Map

Mailing address

1691 Henley Rd NW
Palm Bay, FL 32907-6328

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X0TA14422 (FL)

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 1760046973

Jessica Black, COTA's National Provider Identifier is 1760046973, issued on Apr 24, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Titusville, FL. The record was last updated on Apr 24, 2019.