Individual provider · Type 1 NPI

Theresa C. Luddecke, COTA/L

Occupational Therapy Assistant · Tolland, CT

NPI number 1992078893 Active

Practice location

26 Shenipsit Lake Rd
Tolland, CT 06084-2332

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X371 (CT)

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 1992078893

Theresa C. Luddecke, COTA/L's National Provider Identifier is 1992078893, issued on Feb 23, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Tolland, CT. The record was last updated on Feb 29, 2012.