Individual provider · Type 1 NPI
Jeanine Brock, COTA/L
Occupational Therapy Assistant · St. Petersburg, FL
Practice location
2471 16th Ave N
St. Petersburg, FL 33713-5627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | OTA16397 (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 1992484000
Jeanine Brock, COTA/L's National Provider Identifier is 1992484000, issued on Jul 17, 2023. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 17, 2023.