Individual provider · Type 1 NPI

Kylie Suzanne Carlson, COTA, ATC

Occupational Therapy Assistant · Phoenix, AZ

NPI number 1104183789 Active

Practice location

7500 N Dreamy Draw Dr Ste 120
Phoenix, AZ 85020-4641

Call (703) 362-8246 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X7308 (AZ)

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 1104183789

Kylie Suzanne Carlson, COTA, ATC's National Provider Identifier is 1104183789, issued on Apr 19, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 26, 2025.