Individual provider · Type 1 NPI

Angela Kay Kidd, COTA

Occupational Therapy Assistant · Goshen, IN

NPI number 1215919774 Active

Practice location

1332 Waterford Xing Cir
Goshen, IN 46526-6009

Fax (574) 534-7548

Mailing address

1650 Lyndon Farm Ct, Suite 201
Louisville, KY 40223-5002

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32000947A (IN)

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 1215919774

Angela Kay Kidd, COTA's National Provider Identifier is 1215919774, issued on Nov 18, 2005. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Goshen, IN. The record was last updated on Apr 9, 2009.