Individual provider · Type 1 NPI

Raven Vantryce Fitzpatrick

Occupational Therapy Assistant · Fairview Heights, IL

NPI number 1760282008 Active

Practice location

5 Peachtree Ln
Fairview Heights, IL 62208-3801

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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…

About NPI 1760282008

Raven Vantryce Fitzpatrick's National Provider Identifier is 1760282008, issued on Mar 17, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fairview Heights, IL. The record was last updated on Jun 22, 2026.