Individual provider · Type 1 NPI

Peter Kralik, COTA

Occupational Therapy Assistant · Medford, OR

NPI number 1285841494 Active

Practice location

1200 Mira Mar Ave, Rogue Valley Manor
Medford, OR 97504

Fax (541) 857-7149

Mailing address

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X256305 (OR)

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 1285841494

Peter Kralik, COTA's National Provider Identifier is 1285841494, issued on May 17, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Medford, OR. The record was last updated on Nov 23, 2025.