Individual provider · Type 1 NPI

Robert Jerome Utley, COTA

Occupational Therapy Assistant · Fort Gordon, GA

NPI number 1861829707 Active

Practice location

300 Hospital Road / Ipmc
Fort Gordon, GA 30905-5650

Mailing address

300 Hospital Road/ipmc
Fort Gordon, GA 30905-5650

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA001471 (GA)

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 1861829707

Robert Jerome Utley, COTA's National Provider Identifier is 1861829707, issued on Oct 10, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fort Gordon, GA. The record was last updated on Oct 10, 2013.