Individual provider · Type 1 NPI
Mitzie Marion Colet Mickelson, OTR/L, CPAM
Occupational Therapist · Rome, GA
Practice location
511 W 10th St NE
Rome, GA 30165-2652
Mailing address
1501 Summer Gate Way Apt 12
Dalton, GA 30720-5385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT004641 (GA) |
Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…
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About NPI 1801408802
Mitzie Marion Colet Mickelson, OTR/L, CPAM's National Provider Identifier is 1801408802, issued on Aug 20, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Rome, GA. The record was last updated on Aug 20, 2020.