Individual provider · Type 1 NPI

Kelley Grace Herskovic, MRS.

Occupational Therapist · Santa Rosa, CA

NPI number 1154864403 Active

Practice location

1165 Montgomery Dr
Santa Rosa, CA 95405

Call (707) 637-3276 Map

Mailing address

324 Maria Dr
Petaluma, CA 94954

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X11709 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1154864403

Kelley Grace Herskovic, MRS.'s National Provider Identifier is 1154864403, issued on Nov 18, 2016. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Nov 18, 2016.