Individual provider · Type 1 NPI

Tracey Joanne Shaughnessy, COTA

Occupational Therapy Assistant · Mount Horeb, WI

NPI number 1851594824 Active

Practice location

407 N 8th St
Mount Horeb, WI 53572

Call (608) 437-9626 Map

Fax (608) 437-9604

Mailing address

412 Melody Lane
Verona, WI 53593

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X443027 (WI)

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 1851594824

Tracey Joanne Shaughnessy, COTA's National Provider Identifier is 1851594824, issued on Jun 7, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Mount Horeb, WI. The record was last updated on Jul 8, 2007.