Individual provider · Type 1 NPI

Kristin Forman, C.O.T.A.

Occupational Therapy Assistant · Philadelphia, PA

NPI number 1306063789 Active

Practice location

Liberty Court, 1560 Lombard Street
Philadelphia, PA 19146

Call (215) 546-5960 Map

Mailing address

101 Yale Sq
Morton, PA 19070-1925

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOP003620L (PA)

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 1306063789

Kristin Forman, C.O.T.A.'s National Provider Identifier is 1306063789, issued on Apr 19, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.