Individual provider · Type 1 NPI

Jill J. Broyles, COTA

Occupational Therapy Assistant · Holiday Island, AR

NPI number 1902144058 Active

Practice location

23 Parkcliff Dr
Holiday Island, AR 72631-8045

Call (479) 363-6422 Map

Fax (479) 363-6763

Mailing address

25061 Fat Bob Trl
Shell Knob, MO 65747-7889

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000X2021006128 (MO)
Occupational Therapy Assistant 224Z00000X1800833 (KS)
Nursing Home Administrator 376G00000X3786 (KS)
Occupational Therapy Assistant Primary 224Z00000XOT-A1905 (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…

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About NPI 1902144058

Jill J. Broyles, COTA's National Provider Identifier is 1902144058, issued on Jan 24, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Holiday Island, AR. The record was last updated on Mar 24, 2023.