Individual provider · Type 1 NPI

Sally Ann Wickman, COTA

Occupational Therapy Assistant · Port Charlotte, FL

NPI number 1861697542 Active

Practice location

3417 Tamiami Trl Ste A
Port Charlotte, FL 33952-8158

Call (941) 624-6222 Map

Fax (941) 624-6821

Mailing address

336 Shore Rd
Venice, FL 34285-3725

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOT6185 (FL)

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 1861697542

Sally Ann Wickman, COTA's National Provider Identifier is 1861697542, issued on Jun 20, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Port Charlotte, FL. The record was last updated on Jul 8, 2007.