Individual provider · Type 1 NPI

Susan Randall

Occupational Therapy Assistant · White Hall, IL

NPI number 1922784347 Active

Practice location

620 W Bridgeport St
White Hall, IL 62092-1001

Mailing address

1076 NE 475 Ave
White Hall, IL 62092-4024

Other practice locations

  • 4560 SE International Way Ste 100, Milwaukie, OR 97222-4628 · (971) 206-2099

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.005744 (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…

4 other providers at this address

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About NPI 1922784347

Susan Randall's National Provider Identifier is 1922784347, issued on Jun 22, 2023. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in White Hall, IL. The record was last updated on Jun 22, 2023.