Individual provider · Type 1 NPI

Destiny Walesiak, COTA

Occupational Therapy Assistant · Borger, TX

NPI number 1760865802 Active

Practice location

600 W 3rd St
Borger, TX 79007-4008

Mailing address

314 Coronado St
Fritch, TX 79036-8162

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X212171 (TX)

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 1760865802

Destiny Walesiak, COTA's National Provider Identifier is 1760865802, issued on Jul 7, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Borger, TX. The record was last updated on Jul 7, 2015.