Individual provider · Type 1 NPI

Kimberly Mikenis

Occupational Therapist · Bridgeport, CT

NPI number 1942346291 Active

Practice location

267 Grant St
Bridgeport, CT 06610-2805

Fax (203) 336-7368

Mailing address

147 Bradley St, #A
New Haven, CT 06511-6203

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X002085 (CT)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1942346291

Kimberly Mikenis's National Provider Identifier is 1942346291, issued on Jan 30, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 8, 2007.