Individual provider · Type 1 NPI

Patricia M. Van Den Kieboom, OTR

Occupational Therapist · Glendale, WI

NPI number 1417934308 Active

Practice location

6700 N. Port Washington Rd., C/o St. Francis Children's Center
Glendale, WI 53217

Fax (414) 351-8846

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X3263-026 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1417934308

Patricia M. Van Den Kieboom, OTR's National Provider Identifier is 1417934308, issued on Dec 30, 2005. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Glendale, WI. The record was last updated on Oct 21, 2010.