Individual provider · Type 1 NPI

Kathleen Premock

Occupational Therapy Assistant · South Daytona, FL

NPI number 1598096844 Active

Practice location

917 Beville Rd, Suite G
South Daytona, FL 32119-1712

Call (386) 756-4395 Map

Fax (866) 426-2811

Mailing address

113 Townsend Rd
Marmora, NJ 08223-1133

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X46TA09070500 (NJ)

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 1598096844

Kathleen Premock's National Provider Identifier is 1598096844, issued on Jan 27, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in South Daytona, FL. The record was last updated on Jan 27, 2010.