Individual provider · Type 1 NPI

Courtney R. Kavanaugh, OTR

Occupational Therapist · South Bend, IN

NPI number 1780115691 Active

Practice location

17390 Dugdale Dr
South Bend, IN 46635-1512

Call (574) 400-2169 Map

Fax (765) 450-6664

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X31006277A (IN)
Occupational Therapist Primary 225X00000X31006277 (IN)

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 1780115691

Courtney R. Kavanaugh, OTR's National Provider Identifier is 1780115691, issued on Mar 22, 2017. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in South Bend, IN. The record was last updated on Jul 21, 2022.