Individual provider · Type 1 NPI

Diane Kay Elizondo

Occupational Therapy Assistant · Fenton, MI

NPI number 1336031905 Active

Practice location

806 Williams St
Fenton, MI 48430-2926

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202007494 (MI)

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 1336031905

Diane Kay Elizondo's National Provider Identifier is 1336031905, issued on Jul 17, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fenton, MI. The record was last updated on Jul 17, 2025.