Individual provider · Type 1 NPI

Nicole S. Landrum, COTA/L

Occupational Therapy Assistant · Elkhart, IN

NPI number 1942967476 Active

Practice location

333 W Mishawaka Rd
Elkhart, IN 46517-1921

Call (574) 293-1550 Map

Mailing address

921 Somerset Ave
Mishawaka, IN 46544-4563

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32003594A (IN)

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 1942967476

Nicole S. Landrum, COTA/L's National Provider Identifier is 1942967476, issued on Nov 18, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Elkhart, IN. The record was last updated on Nov 18, 2021.