Individual provider · Type 1 NPI
Mandisa Pettiford, OTA
Occupational Therapy Assistant · Belton, MO
Practice location
17134 Bel Ray Pl
Belton, MO 64012-5331
Fax (816) 318-0437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 2011006042 (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 1982908836
Mandisa Pettiford, OTA's National Provider Identifier is 1982908836, issued on Jan 7, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Belton, MO. The record was last updated on Oct 25, 2012.