NPI 1215919774

Angela Kay Kidd, COTA

Practitioner Occupational Therapy Assistant Goshen, IN

Practice location

Address: 1332 Waterford Xing Cir, Goshen, IN 46526-6009
Phone: (574) 534-3920
Fax: (574) 534-7548
Mailing address: 1650 Lyndon Farm CT Suite 201, Louisville, KY 40223-5002

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 32000947A (IN)

Other Occupational Therapy Assistant providers in Indiana →

Registry record

NPI: 1215919774
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Nov 2005
Record last updated: 9 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.