Individual provider · Type 1 NPI

Susan L. Teubner, COTA

Occupational Therapy Assistant · Fort Wayne, IN

NPI number 1992074579 Active

Practice location

2703 Broken Arrow
Fort Wayne, IN 46825

Mailing address

2703 Broken Arrow Dr
Fort Wayne, IN 46825-3909

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32002099A (IN)

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 1992074579

Susan L. Teubner, COTA's National Provider Identifier is 1992074579, issued on Dec 28, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 28, 2011.