Individual provider · Type 1 NPI

Shelly Greenawalt, COTA/L

Occupational Therapy Assistant · Evanston, IL

NPI number 1770964678 Active

Practice location

500 Asbury Ave
Evanston, IL 60202-2724

Call (847) 316-3320 Map

Mailing address

925 S Semoran Blvd Ste 110A
Winter Park, FL 32792-5313

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.003950 (IL)
Occupational Therapy Assistant 224Z00000XOTA.04748 (OH)
Occupational Therapy Assistant 224Z00000X2258 (CA)
Occupational Therapy Assistant 224Z00000X3049 (SC)

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 1770964678

Shelly Greenawalt, COTA/L's National Provider Identifier is 1770964678, issued on Jun 16, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Evanston, IL. The record was last updated on Jun 16, 2015.