Individual provider · Type 1 NPI

Audrey Marie Gaines

Occupational Therapy Assistant · Fulton, MO

NPI number 1780452391 Active

Practice location

2 Hornet Dr
Fulton, MO 65251-2732

Call (573) 642-4632 Map

Mailing address

1240 County Road 2340
Moberly, MO 65270-4323

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2023039702 (MO)

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 1780452391

Audrey Marie Gaines's National Provider Identifier is 1780452391, issued on Dec 13, 2023. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fulton, MO. The record was last updated on Dec 13, 2023.