Individual provider · Type 1 NPI

Breauanna Nina Jennings, COTA

Occupational Therapy Assistant · Hammond, WI

NPI number 1770009367 Active

Practice location

425 Davis St
Hammond, WI 54015-9615

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5409 (WI)

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 1770009367

Breauanna Nina Jennings, COTA's National Provider Identifier is 1770009367, issued on Aug 16, 2017. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Hammond, WI. The record was last updated on Aug 16, 2017.