Individual provider · Type 1 NPI

Jacqueline M. Dunivan, COTA/L

Occupational Therapy Assistant · Joplin, MO

NPI number 1861269243 Active

Practice location

5195 Magnolia Dr
Joplin, MO 64801-6406

Mailing address

22396 E Nebo Hill Rd
Nevada, MO 64772-8018

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2009019115 (MO)

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 1861269243

Jacqueline M. Dunivan, COTA/L's National Provider Identifier is 1861269243, issued on Dec 6, 2023. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Joplin, MO. The record was last updated on Dec 6, 2023.