Individual provider · Type 1 NPI

Jennifer Lea Short, COTA

Occupational Therapy Assistant · Broken Arrow, OK

NPI number 1881177863 Active

Practice location

701 S Main St
Broken Arrow, OK 74012-5528

Call (918) 845-8641 Map

Mailing address

2114 W Walnut St
Collinsville, OK 74021-1708

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1419 (OK)

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 1881177863

Jennifer Lea Short, COTA's National Provider Identifier is 1881177863, issued on Sep 14, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Sep 14, 2018.