Individual provider · Type 1 NPI

Kimberly Sue Braddock, COTA

Occupational Therapy Assistant · Newark, OH

NPI number 1194300608 Active

Practice location

1440 Deer Trce
Newark, OH 43055-9746

Mailing address

7171 Keck Park Cir NW
North Canton, OH 44720-6301

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA007843 (OH)

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 1194300608

Kimberly Sue Braddock, COTA's National Provider Identifier is 1194300608, issued on Mar 16, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Newark, OH. The record was last updated on Mar 16, 2021.