Individual provider · Type 1 NPI

Kenna Bondoc, COTA

Occupational Therapy Assistant · Russellville, AR

NPI number 1992135487 Active

Practice location

500 E 3rd St
Russellville, AR 72801-5204

Call (479) 968-1198 Map

Fax (479) 967-1178

Mailing address

3345 Homestead Rd
Conway, AR 72032-9148

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XO-T1370 (AR)

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 1992135487

Kenna Bondoc, COTA's National Provider Identifier is 1992135487, issued on Nov 19, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Russellville, AR. The record was last updated on Nov 19, 2013.