Individual provider · Type 1 NPI

Kimmichael Bolognini, COTA/L

Occupational Therapy Assistant · Melbourne, FL

NPI number 1871108340 Active

Practice location

2793 Kingsmill Ave
Melbourne, FL 32934-7582

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X16941 (FL)

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 1871108340

Kimmichael Bolognini, COTA/L's National Provider Identifier is 1871108340, issued on Sep 11, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Melbourne, FL. The record was last updated on Sep 11, 2020.