Individual provider · Type 1 NPI

Keely Marie Pettus, COTA/L

Occupational Therapy Assistant · Hobbs, NM

NPI number 1386065308 Active

Practice location

315 E Clinton St
Hobbs, NM 88240-8238

Fax (575) 393-0249

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2821 (NM)

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 1386065308

Keely Marie Pettus, COTA/L's National Provider Identifier is 1386065308, issued on Dec 17, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Hobbs, NM. The record was last updated on Dec 17, 2013.