Individual provider · Type 1 NPI

Shannon Polivka, COTA

Occupational Therapy Assistant · Fredericksburg, VA

NPI number 1992301790 Active

Practice location

11 Dairy Ln
Fredericksburg, VA 22405-2663

Call (540) 371-9414 Map

Mailing address

623 Forbes St
Fredericksburg, VA 22405-2021

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X0131002318 (VA)

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…

43 other providers at this address

Other occupational therapy assistant providers in Fredericksburg

See all in Fredericksburg →

About NPI 1992301790

Shannon Polivka, COTA's National Provider Identifier is 1992301790, issued on Dec 7, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fredericksburg, VA. The record was last updated on Dec 7, 2020.