Individual provider · Type 1 NPI

Kim A. Nichols

Occupational Therapy Assistant · Port Orange, FL

NPI number 1114261310 Active

Practice location

5535 S Williamson Blvd, Ste 774
Port Orange, FL 32128-8311

Call (800) 330-7711 Map

Fax (866) 426-2811

Mailing address

111 Osborne Ln
Madisonville, KY 42431-9766

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XA4194 (KY)

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 1114261310

Kim A. Nichols's National Provider Identifier is 1114261310, issued on Nov 12, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Port Orange, FL. The record was last updated on Nov 12, 2012.