Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KIMMICHAEL BOLOGNINI, COTA/L
Active Sole ProprietorMR. KIMMICHAEL BOLOGNINI, COTA/L is a Occupational Therapy Assistant healthcare provider located in MELBOURNE, Florida. NPI 1871108340 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MELBOURNE, FL
Registration Details
- NPI Number
- 1871108340
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2020 (5.743257741392 yrs)
- Last Updated
- Sep 11, 2020
- License
-
16941 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2793 KINGSMILL AVEMELBOURNE, FL, 329347582Browse FL providers · Browse ZIP 32934
- Phone
- 3216263699
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in MELBOURNE, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. DORIS BARBARA FLOYD | COTA | 1285602870 |
| HEATHER DAWN MOENING | COTA | 1003919663 |
| MS. DEBORAH ANN MCGAULEY | COTA | 1255404034 |
| THERESA MORGENTHALER | OTA | 1265574065 |
| MR. JASON JOSEPH DECHRISTOFANO | COTA | 1619091071 |
| MS. PAMELA LYNN MILLER | COTA | 1427176601 |
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.