Individual provider · Type 1 NPI

Madison Rose Lopez, COTA

Occupational Therapy Assistant · Fairfield, TX

NPI number 1902481013 Active

Practice location

199 County Road 111
Fairfield, TX 75840-5405

Call (903) 390-8787 Map

Mailing address

PO Box 63
Wortham, TX 76693-0063

Specialties and licenses

Taxonomy	Code	License
Occupational Therapy Assistant Primary	224Z00000X	216729 (TX)

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 1902481013

Madison Rose Lopez, COTA's National Provider Identifier is 1902481013, issued on Mar 10, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fairfield, TX. The record was last updated on Mar 10, 2021.