Individual provider · Type 1 NPI
Kelly Jean Evenson
Occupational Therapy Assistant · Lakeport, CA
Practice location
1291 Craig Ave
Lakeport, CA 95453-5704
Mailing address
10641 Sunset Ridge Dr
Kelseyville, CA 95451-9505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 4499 (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 1487264651
Kelly Jean Evenson's National Provider Identifier is 1487264651, issued on Aug 3, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lakeport, CA. The record was last updated on Aug 3, 2020.