Individual provider · Type 1 NPI

Shelby Nicole Mondloch, OTA/L

Occupational Therapy Assistant · Broken Arrow, OK

NPI number 1831741032 Active

Practice location

4300 S Juniper Pl
Broken Arrow, OK 74011-2832

Call (918) 259-4420 Map

Mailing address

14206 S Winston Ave
Bixby, OK 74008-3773

Other practice locations

  • 1165 Brenner Rd, Sapulpa, OK 74066-6141 · (818) 224-0600

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1211 (OK)

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 1831741032

Shelby Nicole Mondloch, OTA/L's National Provider Identifier is 1831741032, issued on Jul 9, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Jul 9, 2019.