Individual provider · Type 1 NPI

Kimberly Black, COTA

Occupational Therapy Assistant · Fort Oglethorpe, GA

NPI number 1326415043 Active

Practice location

2403 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4033

Call (706) 866-7700 Map

Mailing address

71 Clark Rd
Tunnel Hill, GA 30755-6800

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA001922 (GA)
Occupational Therapy Assistant 224Z00000X2530 (TN)

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 1326415043

Kimberly Black, COTA's National Provider Identifier is 1326415043, issued on Aug 28, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fort Oglethorpe, GA. The record was last updated on Aug 28, 2015.