Individual provider · Type 1 NPI

Shelly Ann Juaire, COTA

Occupational Therapy Assistant · Phoenix, AZ

NPI number 1811180193 Active

Practice location

7540 N 19th Ave Ste 200
Phoenix, AZ 85021-7967

Call (888) 873-4221 Map

Fax (888) 543-2289

Mailing address

3971 Pershing St SW
Prior Lake, MN 55372-2373

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X200574 (MN)

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 1811180193

Shelly Ann Juaire, COTA's National Provider Identifier is 1811180193, issued on Aug 21, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 21, 2007.