Individual provider · Type 1 NPI

Stephanie Marcia Petra Diformato, COTA/L

Occupational Therapy Assistant · Palm Coast, FL

NPI number 1992000459 Active

Practice location

7 Peyton Pl
Palm Coast, FL 32164-4744

Call (386) 793-3898 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA 11434 (FL)

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 1992000459

Stephanie Marcia Petra Diformato, COTA/L's National Provider Identifier is 1992000459, issued on Jan 14, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Palm Coast, FL. The record was last updated on Jan 14, 2011.