Individual provider · Type 1 NPI

Jack Aaron Bolen, COTA

Occupational Therapy Assistant · Radford, VA

NPI number 1780907402 Active

Practice location

700 Randolph St
Radford, VA 24141-2430

Call (540) 633-6533 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X0131000124 (VA)

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 1780907402

Jack Aaron Bolen, COTA's National Provider Identifier is 1780907402, issued on Mar 9, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Radford, VA. The record was last updated on Mar 9, 2010.