Individual provider · Type 1 NPI

Mary Katherine Governal, C.O.T.A./L

Occupational Therapy Assistant · Lake St. Louis, MO

NPI number 1972811149 Active

Practice location

2 Harbor Bend Ct
Lake St. Louis, MO 63367-1478

Call (636) 965-2070 Map

Fax (636) 695-2080

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2009014323 (MO)

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 1972811149

Mary Katherine Governal, C.O.T.A./L's National Provider Identifier is 1972811149, issued on Sep 21, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lake St. Louis, MO. The record was last updated on Sep 21, 2010.