Individual provider · Type 1 NPI

Amy Diane Ellis, COTA/L

Occupational Therapy Assistant · Dyersburg, TN

NPI number 1831457191 Active

Practice location

1900 Parr Ave
Dyersburg, TN 38024-2009

Call (731) 286-1221 Map

Mailing address

2009 Welch Rd
Dyersburg, TN 38024-7740

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2094 (TN)

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 1831457191

Amy Diane Ellis, COTA/L's National Provider Identifier is 1831457191, issued on Apr 24, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Dyersburg, TN. The record was last updated on Mar 7, 2021.