Individual provider · Type 1 NPI

Kelly M. Dibiaso, OTR

Occupational Therapist · Louisville, KY

NPI number 1689295073 Active

Practice location

2701 Chestnut Station Ct
Louisville, KY 40299-6395

Mailing address

482 Lake Ave Unit 2
Bristol, CT 06010-7334

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5398 (CT)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1689295073

Kelly M. Dibiaso, OTR's National Provider Identifier is 1689295073, issued on Apr 27, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Louisville, KY. The record was last updated on Apr 27, 2020.