Individual provider · Type 1 NPI

Deyanna Evangela Green, COTA/L

Occupational Therapy Assistant · Columbus, GA

NPI number 1790029478 Active

Practice location

4600 S Stadium Dr, Apt 27
Columbus, GA 31909-2133

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA001312 (GA)

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 1790029478

Deyanna Evangela Green, COTA/L's National Provider Identifier is 1790029478, issued on Nov 19, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Columbus, GA. The record was last updated on Nov 19, 2012.