Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breelyn Noel Kidd, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1780236141

Breelyn Noel Kidd, COTA/L is an Occupational Therapy Assistant in Greenwood, South Carolina. Licensed in South Carolina. Registered with an NPI since 2019.

Licensed in
SC
In the registry since
2019
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

104 Maxwell Ave Ste 312
Greenwood, SC 29646-2641
Phone: (864) 229-7529
Fax: (864) 229-7530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 4883 (SC)

Record details

NPI number1780236141
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESJuly 15, 2019

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