Individual provider · Type 1 NPI

Casey Deanna Self, COTA/L

Occupational Therapy Assistant · Bowling Green, KY

NPI number 1801319314 Active

Practice location

944 Fields Dr Ste 102
Bowling Green, KY 42104-5341

Mailing address

920 Clarence O Dell Rd
Bowling Green, KY 42101-8240

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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 1801319314

Casey Deanna Self, COTA/L's National Provider Identifier is 1801319314, issued on Jul 18, 2017. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Bowling Green, KY. The record was last updated on Jul 18, 2017.