Individual provider · Type 1 NPI

Kathleen Marie Wagner, COTA

Occupational Therapy Assistant · Pea Ridge, AR

NPI number 1871879452 Active

Practice location

979 Weston St
Pea Ridge, AR 72751-2628

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOT-A625 (AR)

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…

2 other providers at this address

About NPI 1871879452

Kathleen Marie Wagner, COTA's National Provider Identifier is 1871879452, issued on Oct 27, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Pea Ridge, AR. The record was last updated on Oct 20, 2023.