Individual provider · Type 1 NPI

Kelly J. Formanek, COTA

Occupational Therapy Assistant · San Antonio, TX

NPI number 1326069352 Active

Practice location

4415 Rio D Oro
San Antonio, TX 78233-6748

Call (210) 651-3339 Map

Mailing address

2222 Sullivan Trl
Easton, PA 18040-7958

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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 1326069352

Kelly J. Formanek, COTA's National Provider Identifier is 1326069352, issued on Jul 23, 2006. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in San Antonio, TX. The record was last updated on Jul 8, 2007.