Individual provider · Type 1 NPI

Kelli Sue Holmgren, OTA

Occupational Therapy Assistant · Davenport, IA

NPI number 1053854299 Active

Practice location

1532 Shamrock Dr
Davenport, IA 52807-7602

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X00736 (IA)
Occupational Therapy Assistant 224Z00000X057.001964 (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 1053854299

Kelli Sue Holmgren, OTA's National Provider Identifier is 1053854299, issued on Nov 21, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Davenport, IA. The record was last updated on Nov 21, 2016.