Individual provider · Type 1 NPI

Keshap Gautam

Occupational Therapy Assistant · Southington, CT

NPI number 1356760433 Active

Practice location

45 Meriden Ave
Southington, CT 06489-3214

Call (860) 453-4170 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X001413 (CT)
Occupational Therapy Assistant 224Z00000X2638 (CA)

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 1356760433

Keshap Gautam's National Provider Identifier is 1356760433, issued on Apr 16, 2014. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Southington, CT. The record was last updated on Oct 16, 2014.