Individual provider · Type 1 NPI

Nichole Renee Shadle, COTA/L

Occupational Therapy Assistant · Montoursville, PA

NPI number 1801302864 Active

Practice location

2140 Warrensville Rd
Montoursville, PA 17754-9621

Call (570) 433-3161 Map

Mailing address

14 Hidden Oaks Dr
Jersey Shore, PA 17740-7108

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOP002604L (PA)

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 1801302864

Nichole Renee Shadle, COTA/L's National Provider Identifier is 1801302864, issued on Dec 28, 2017. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Montoursville, PA. The record was last updated on Dec 28, 2017.