Individual provider · Type 1 NPI

Evita Gardner, COTA/L

Occupational Therapy Assistant · Lake City, FL

NPI number 1871002352 Active

Practice location

587 SE Ermine Ave
Lake City, FL 32025-6126

Call (386) 752-7800 Map

Mailing address

2531 Belmont Ave
New Smyrna, FL 32168-5806

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X15960 (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 1871002352

Evita Gardner, COTA/L's National Provider Identifier is 1871002352, issued on Sep 27, 2017. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lake City, FL. The record was last updated on Sep 27, 2017.