Individual provider · Type 1 NPI

Kimberly Anne Moore, C.O.T.A.

Occupational Therapy Assistant · West Union, IA

NPI number 1386859692 Active

Practice location

112 Jefferson St
West Union, IA 52175-1022

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X00750 (IA)

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 1386859692

Kimberly Anne Moore, C.O.T.A.'s National Provider Identifier is 1386859692, issued on May 11, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in West Union, IA. The record was last updated on Jul 8, 2007.