Individual provider · Type 1 NPI

Kelly Ann Spencer Ayen, COTA/L

Occupational Therapy Assistant · Watertown, NY

NPI number 1275492407 Active

Practice location

1635 Ohio St
Watertown, NY 13601-3032

Mailing address

179 Rock Island St
Gouverneur, NY 13642-1133

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X010503-01 (NY)

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 1275492407

Kelly Ann Spencer Ayen, COTA/L's National Provider Identifier is 1275492407, issued on Jan 22, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Watertown, NY. The record was last updated on Jan 22, 2026.