Individual provider · Type 1 NPI

Kelley Anne Hieronymus, COTA/L

Occupational Therapy Assistant · Moses Lake, WA

NPI number 1487998902 Active

Practice location

817 E Plum St
Moses Lake, WA 98837-1870

Mailing address

2013 Leanne Ave
Moses Lake, WA 98837-2599

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOC 00000444 (WA)

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 1487998902

Kelley Anne Hieronymus, COTA/L's National Provider Identifier is 1487998902, issued on Nov 21, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Moses Lake, WA. The record was last updated on Nov 21, 2012.