Individual provider · Type 1 NPI

Kendall Dewayne Johnson, COTA

Occupational Therapy Assistant · Venice, FL

NPI number 1093028318 Active

Practice location

744 The Rialto
Venice, FL 34285-3524

Call (941) 484-5500 Map

Mailing address

3223 Beneva Rd
Sarasota, FL 34232-4578

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA10519 (FL)

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 1093028318

Kendall Dewayne Johnson, COTA's National Provider Identifier is 1093028318, issued on Jul 15, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Venice, FL. The record was last updated on Jul 15, 2010.