Individual provider · Type 1 NPI

Kennedy Fabian, COTA/L

Occupational Therapy Assistant · La Crosse, WI

NPI number 1679293310 Active

Practice location

2405 Travis St
La Crosse, WI 54601-6835

Call (608) 789-7600 Map

Mailing address

1765 Brogan Dr
New Lenox, IL 60451-4016

Other practice locations

  • 212 Barney Dr, Joliet, IL 60435-5271 · (815) 725-2194

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X7094-27 (WI)
Occupational Therapy Assistant 224Z00000X057.005857 (IL)

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…

17 other providers at this address

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About NPI 1679293310

Kennedy Fabian, COTA/L's National Provider Identifier is 1679293310, issued on Sep 1, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in La Crosse, WI. The record was last updated on Sep 3, 2026.