Individual provider · Type 1 NPI

Beulah Kellywood, COTA/L

Occupational Therapy Assistant · Santa Fe, NM

NPI number 1093136905 Active

Practice location

1300 Camino Sierra Vis
Santa Fe, NM 87505-1007

Call (505) 467-2504 Map

Fax (505) 467-2504

Mailing address

PO Box 93894
Albuquerque, NM 87199-3894

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2200 (NM)

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 1093136905

Beulah Kellywood, COTA/L's National Provider Identifier is 1093136905, issued on Dec 18, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Santa Fe, NM. The record was last updated on Dec 18, 2013.