Individual provider · Type 1 NPI

Kimberly Etheredge, COTA/L

Occupational Therapy Assistant · Greenwood, SC

NPI number 1528310380 Active

Practice location

1530 Parkway
Greenwood, SC 29646-4027

Call (864) 330-1800 Map

Mailing address

122 Dorchester St
Greenwood, SC 29646-9554

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X3114 (SC)

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 1528310380

Kimberly Etheredge, COTA/L's National Provider Identifier is 1528310380, issued on Oct 3, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Greenwood, SC. The record was last updated on Apr 2, 2013.