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NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY ASSISTANT EMPLOYMENT×SUPERVISION UPDATE FORM Mailing Address: NCB OT, P. O. Box 2280, Raleigh, NC 27602 NORTH CAROLINA LICENSE NUMBER PERSONAL INFORMATION:
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Overall, the 1209 OTA employment or form is used by OTAs, employers, and licensing agencies to gather and verify important information about an individual's qualifications and employment history in the field of occupational therapy.
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