Individual provider · Type 1 NPI

Kallie Forman, COTA

Occupational Therapy Assistant · Buna, TX

NPI number 1306472436 Active

Practice location

390 County Road 899
Buna, TX 77612-2910

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X216001 (TX)

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…

About NPI 1306472436

Kallie Forman, COTA's National Provider Identifier is 1306472436, issued on Mar 20, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Buna, TX. The record was last updated on Mar 20, 2020.