Individual provider · Type 1 NPI

Kendy R. Polley, COTA/L

Occupational Therapy Assistant · Carbondale, IL

NPI number 1922639954 Active

Practice location

1050 N Reed Station Rd
Carbondale, IL 62902-7376

Mailing address

101 Olivia Dr
Marion, IL 62959-1388

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.004923 (IL)

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 1922639954

Kendy R. Polley, COTA/L's National Provider Identifier is 1922639954, issued on Jan 29, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Carbondale, IL. The record was last updated on Jan 29, 2020.