Individual provider · Type 1 NPI

Miranda Grange, COTA/L

Occupational Therapy Assistant · Keller, TX

NPI number 1992683783 Active

Practice location

1652 Keller Pkwy Ste 100
Keller, TX 76248-3876

Mailing address

1908 Thistle Hill Dr Apt 16309
Fort Worth, TX 76110-7433

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X218244 (TX)

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 1992683783

Miranda Grange, COTA/L's National Provider Identifier is 1992683783, issued on Aug 21, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Keller, TX. The record was last updated on Aug 21, 2025.