Individual provider · Type 1 NPI

Jennifer Lee Whitacre, COTA/L

Occupational Therapy Assistant · Wiley Ford, WV

NPI number 1902366065 Active

Practice location

142 Highland Ave
Wiley Ford, WV 26767-9735

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000XA02704 (MD)
Occupational Therapy Assistant Primary 224Z00000XC2260 (WV)

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…

About NPI 1902366065

Jennifer Lee Whitacre, COTA/L's National Provider Identifier is 1902366065, issued on Mar 23, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Wiley Ford, WV. The record was last updated on Mar 23, 2019.