Individual provider · Type 1 NPI

Benjamin Kelso

Occupational Therapy Assistant · Medford, OR

NPI number 1093259152 Active

Practice location

1200 Mira Mar Ave Ste 1
Medford, OR 97504-8588

Mailing address

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X368677 (OR)

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 1093259152

Benjamin Kelso's National Provider Identifier is 1093259152, issued on Dec 8, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Medford, OR. The record was last updated on Dec 8, 2016.