Individual provider · Type 1 NPI

Kimberly M. Johnson, COTA/L

Occupational Therapy Assistant · Phoenix, AZ

NPI number 1760049191 Active

Practice location

7080 N 19th Ave
Phoenix, AZ 85021-8585

Call (602) 601-2401 Map

Mailing address

1555 S Gilbert Rd Ste 109
Mesa, AZ 85204-6000

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X7020 (AZ)

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 1760049191

Kimberly M. Johnson, COTA/L's National Provider Identifier is 1760049191, issued on May 21, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Phoenix, AZ. The record was last updated on May 21, 2019.