Individual provider · Type 1 NPI

Korie Kisamore, COTA

Occupational Therapy Assistant · Fort Mill, SC

NPI number 1750194619 Active

Practice location

1698 Highway 160 W Ste 240
Fort Mill, SC 29708-8035

Fax (980) 938-6088

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X17342 (NC)

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 1750194619

Korie Kisamore, COTA's National Provider Identifier is 1750194619, issued on Jan 27, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fort Mill, SC. The record was last updated on Jan 27, 2025.