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

Kathleen Premock

Individual provider Occupational Therapy Assistant · NPI 1598096844

Kathleen Premock is an Occupational Therapy Assistant in South Daytona, Florida. Licensed in New Jersey. Registered with an NPI since 2010.

Licensed in
NJ
In the registry since
2010

Practice location Address checks out

917 Beville Rd Ste G
South Daytona, FL 32119-1712
Phone: (386) 756-4395
Fax: (866) 426-2811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 46TA09070500 (NJ)

Record details

NPI number1598096844
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2010
Last updated in NPPESJanuary 27, 2010
Mailing address113 Townsend Rd, Marmora, NJ 08223-1133

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