Individual provider · Type 1 NPI

Patrick Kelly, COTA

Occupational Therapy Assistant · South Bend, IN

NPI number 1831572478 Active

Practice location

52565 Sr 933
South Bend, IN 46637

Call (574) 247-7044 Map

Mailing address

1512 Oakdale Dr
South Bend, IN 46614-2847

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32001291A (IN)

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 1831572478

Patrick Kelly, COTA's National Provider Identifier is 1831572478, issued on Jul 1, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in South Bend, IN. The record was last updated on Jul 1, 2015.