Individual provider · Type 1 NPI
Madison Mae Witte, COTA/L
Occupational Therapy Assistant · San Rafael, CA
Practice location
40 Professional Center Pkwy
San Rafael, CA 94903-2703
Mailing address
316 Marsh St
Tyler, MN 56178-1136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 488023 (OR) |
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 1790485449
Madison Mae Witte, COTA/L's National Provider Identifier is 1790485449, issued on Mar 9, 2023. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in San Rafael, CA. The record was last updated on Mar 9, 2023.