Individual provider · Type 1 NPI

Nichole Addo-Stover, COTA

Occupational Therapy Assistant · Orland Park, IL

NPI number 1992924815 Active

Practice location

16170 Kingsport Rd
Orland Park, IL 60467-5602

Mailing address

2820 Western Ave
Park Forest, IL 60466-1803

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057000986 (IL)

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 1992924815

Nichole Addo-Stover, COTA's National Provider Identifier is 1992924815, issued on Apr 25, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Orland Park, IL. The record was last updated on Jul 8, 2007.