IndividualActive
Bailey Kibsgaard, COTA
NPI 1740943984 · Occupational Therapy Assistant · Laurens, SC
Provider details
- NPI number
- 1740943984
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 5282 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
420 W Farley Ave
Laurens, SC 29360-3039
Phone: (864) 984-9844
Approximate (ZIP-level) locationGet directions
Mailing address
5209 Cinelli St
Greenville, SC 29615-4278
Registry dates
- Enumerated
- 2021-10-14
- Last updated
- 2021-10-14
- Certified
- 2021-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.