Individual provider · Type 1 NPI

Kelby Renee Nicholson, COTA

Occupational Therapy Assistant · West Memphis, AR

NPI number 1174126338 Active

Practice location

610 N Missouri St Ste 1
West Memphis, AR 72301-3148

Call (870) 400-0179 Map

Fax (870) 400-0479

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOT-A1668 (AR)

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 1174126338

Kelby Renee Nicholson, COTA's National Provider Identifier is 1174126338, issued on Nov 19, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in West Memphis, AR. The record was last updated on Nov 19, 2020.