Individual provider · Type 1 NPI

Breelyn Noel Kidd, COTA/L

Occupational Therapy Assistant · Greenwood, SC

NPI number 1780236141 Active

Practice location

104 Maxwell Ave Ste 312
Greenwood, SC 29646-2641

Fax (864) 229-7530

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4883 (SC)

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 1780236141

Breelyn Noel Kidd, COTA/L's National Provider Identifier is 1780236141, issued on Jul 15, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Greenwood, SC. The record was last updated on Jul 15, 2019.