Individual provider · Type 1 NPI

Russell Lamar Locke Sr., COTA/L

Occupational Therapy Assistant · Titusville, FL

NPI number 1891256277 Active

Practice location

1705 Jess Parrish Ct
Titusville, FL 32796-2158

Call (321) 269-5720 Map

Mailing address

6511 June Dr
Cocoa, FL 32926-2326

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA10650 (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 1891256277

Russell Lamar Locke Sr., COTA/L's National Provider Identifier is 1891256277, issued on Mar 27, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Titusville, FL. The record was last updated on Mar 27, 2019.