Individual provider · Type 1 NPI

Jacqueline Denise Gaddis, COTA

Occupational Therapy Assistant · Maple Valley, WA

NPI number 1881177111 Active

Practice location

22443 SE 240th St Ste 206
Maple Valley, WA 98038-5879

Fax (427) 413-6797

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOC60415152 (WA)

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 1881177111

Jacqueline Denise Gaddis, COTA's National Provider Identifier is 1881177111, issued on Sep 12, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Maple Valley, WA. The record was last updated on Sep 12, 2018.