Individual provider · Type 1 NPI

Alan Dwayne Statum, OTA

Occupational Therapy Assistant · Tulsa, OK

NPI number 1861069379 Active

Practice location

8720 S. 101st Ave
Tulsa, OK 74133

Mailing address

412 E Beaver St
Jenks, OK 74037-4513

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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 1861069379

Alan Dwayne Statum, OTA's National Provider Identifier is 1861069379, issued on Jun 4, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 4, 2021.