Individual provider · Type 1 NPI

Stacey Lewis, COTA/L

Occupational Therapy Assistant · Pocatello, ID

NPI number 1952819237 Active

Practice location

1009 W Quinn Rd
Pocatello, ID 83202-2425

Call (208) 427-4155 Map

Mailing address

42 Hillcrest Dr
Pocatello, ID 83204-4729

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1527 (ID)

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 1952819237

Stacey Lewis, COTA/L's National Provider Identifier is 1952819237, issued on Jan 19, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Pocatello, ID. The record was last updated on Jan 19, 2018.