Individual provider · Type 1 NPI

Elnura Kim

Occupational Therapy Assistant · Fontana, CA

NPI number 1790302453 Active

Practice location

13665 Newcastle Ct
Fontana, CA 92335-0588

Mailing address

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5265 (CA)

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 1790302453

Elnura Kim's National Provider Identifier is 1790302453, issued on Jun 29, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fontana, CA. The record was last updated on Jun 29, 2020.