Individual provider · Type 1 NPI

Kelly L. Reilly Gardner, COTA/L

Occupational Therapy Assistant · Long Beach, CA

NPI number 1922333624 Active

Practice location

4211 E 4th St Apt 9
Long Beach, CA 90814-4912

Call (562) 355-2719 Map

Mailing address

4211 East 4th Street #9
Long Beach, CA 90814

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1807 (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 1922333624

Kelly L. Reilly Gardner, COTA/L's National Provider Identifier is 1922333624, issued on Oct 14, 2009. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Long Beach, CA. The record was last updated on Oct 14, 2009.