Individual provider · Type 1 NPI

Chassidy Johnson, COTA

Occupational Therapy Assistant · Fort Wayne, IN

NPI number 1780728485 Active

Practice location

3320 N Clinton St
Fort Wayne, IN 46805-1918

Call (260) 483-2100 Map

Fax (260) 484-5059

Mailing address

8805 W 350 S
Kimmell, IN 46760-9749

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32000934A (IN)

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 1780728485

Chassidy Johnson, COTA's National Provider Identifier is 1780728485, issued on Feb 16, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.