Individual provider · Type 1 NPI

Dominique Oldham, OTA

Occupational Therapy Assistant · West Des Moines, IA

NPI number 1821756636 Active

Practice location

8950 Coachlight Dr
West Des Moines, IA 50266-8778

Mailing address

14605 E 257th Ave
Eagleville, MO 64442-9137

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X085075 (IA)

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 1821756636

Dominique Oldham, OTA's National Provider Identifier is 1821756636, issued on Nov 30, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in West Des Moines, IA. The record was last updated on Dec 13, 2021.