Individual provider · Type 1 NPI

Jerry Peterson, COTA

Occupational Therapy Assistant · Bedford, TX

NPI number 1962074575 Active

Practice location

2112 Forum Pkwy
Bedford, TX 76021-6028

Call (817) 799-4600 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X203545 (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 1962074575

Jerry Peterson, COTA's National Provider Identifier is 1962074575, issued on Jul 13, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Bedford, TX. The record was last updated on Jul 13, 2021.