Individual provider · Type 1 NPI

Judith Niebergall, COTA MLDT

Occupational Therapy Assistant · Florence, SC

NPI number 1861699175 Active

Practice location

555 E Cheves St
Florence, SC 29506-2617

Call (843) 777-2196 Map

Fax (843) 777-2051

Mailing address

1106 Brunwood Dr
Florence, SC 29501-5528

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X479 (SC)

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 1861699175

Judith Niebergall, COTA MLDT's National Provider Identifier is 1861699175, issued on Jun 29, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Florence, SC. The record was last updated on Jul 8, 2007.