Individual provider · Type 1 NPI

Kelsy Jade Raven

Occupational Therapist · Santa Monica, CA

NPI number 1750940797 Active

Practice location

1328 Yale St Apt A
Santa Monica, CA 90404-2459

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X20060 (CA)

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 1750940797

Kelsy Jade Raven's National Provider Identifier is 1750940797, issued on Jun 12, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Santa Monica, CA. The record was last updated on Jun 12, 2019.