Individual provider · Type 1 NPI

Tanicia Whiteside, COTA/L

Occupational Therapy Assistant · Shelby Township, MI

NPI number 1962878769 Active

Practice location

13794 21 Mile Rd
Shelby Township, MI 48315-4854

Call (586) 532-2100 Map

Mailing address

26427 Cathedral
Redford, MI 48239-1846

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202006157 (MI)

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 1962878769

Tanicia Whiteside, COTA/L's National Provider Identifier is 1962878769, issued on Aug 15, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Shelby Township, MI. The record was last updated on Aug 15, 2015.