Individual provider · Type 1 NPI

Karissa Breanne Green, COTA/L

Occupational Therapy Assistant · Pleasant Hill, TN

NPI number 1770189995 Active

Practice location

55 W Lake Rd
Pleasant Hill, TN 38578-3002

Call (931) 277-3511 Map

Mailing address

9 Ponderosa Dr
Crossville, TN 38555-5806

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2258 (TN)

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 1770189995

Karissa Breanne Green, COTA/L's National Provider Identifier is 1770189995, issued on Dec 11, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Pleasant Hill, TN. The record was last updated on Dec 11, 2020.