Independently integrating assessment findings, precautions, functional limitations, patient goals, and treatment response to develop and modify individualized plans of care; providing advanced interventions for daily function and participation; and delivering specialized hand therapy, including evaluating upper-extremity conditions and designing, fabricating, fitting, or modifying custom orthoses. 1 year of specialized experience equivalent to the GS-11 level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: providing advanced occupational therapy services to patients with complex physical, neurological, musculoskeletal, orthopedic, developmental, cognitive, behavioral, or post-operative conditions.