Individual provider · Type 1 NPI

Dominique Devon Nelson

Occupational Therapy Assistant · Crestwood, IL

NPI number 1922770429 Active

Practice location

13259 S Central Ave
Crestwood, IL 60418-2901

Mailing address

3728 215th St
Matteson, IL 60443-2754

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.005651 (IL)

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 1922770429

Dominique Devon Nelson's National Provider Identifier is 1922770429, issued on Oct 2, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Crestwood, IL. The record was last updated on Oct 2, 2021.