Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KETRIC NEDELEA, COTA/L
ActiveKETRIC NEDELEA, COTA/L is a Occupational Therapy Assistant healthcare provider located in FOUNTAIN INN, South Carolina. NPI 1114574746 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · FOUNTAIN INN, SC
Registration Details
- NPI Number
- 1114574746
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2019 (6.8035168754096 yrs)
- Last Updated
- Aug 19, 2019
- License
-
3452 (SC)
Practice Information
- Address
-
204 SHADY PINES CTFOUNTAIN INN, SC, 296449785Browse SC providers · Browse ZIP 29644
- Phone
- 8644089509
- Fax
- 8643359036
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in FOUNTAIN INN, SC
| Name | Credential | NPI |
|---|---|---|
| MELINDA WILT | COTA/L | 1184719494 |
| JEFFERY BROWN | COTA | 1669557880 |
| TRAVIS HEATON | COTA/L | 1730510025 |
| ADAM HIGGS | COTA/L | 1558918185 |
| STACEY WEBER | COTA/L | 1366099988 |
| ANDREA THORESON | COTA/L | 1124675830 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.