Individual provider · Type 1 NPI

Kelly Bridgette Small

Occupational Therapy Assistant · Baraboo, WI

NPI number 1649449588 Active

Practice location

819 East St
Baraboo, WI 53913-2213

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X207218 (TX)

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 1649449588

Kelly Bridgette Small's National Provider Identifier is 1649449588, issued on Feb 25, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Baraboo, WI. The record was last updated on Feb 25, 2008.