Individual provider · Type 1 NPI

Kelly Lynne Destefano, COTA/L

Occupational Therapy Assistant · Vero Beach, FL

NPI number 1730999350 Active

Practice location

2150 Pine Creek Blvd Apt 105
Vero Beach, FL 32966-5204

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000X010179 (NY)
Occupational Therapy Assistant Primary 224Z00000XOTA19443 (FL)

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 1730999350

Kelly Lynne Destefano, COTA/L's National Provider Identifier is 1730999350, issued on Jan 8, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Vero Beach, FL. The record was last updated on Jan 8, 2025.