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

Individual provider Occupational Therapy Assistant · NPI 1326069352

Kelly J Formanek, COTA is an Occupational Therapy Assistant in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

4415 Rio D Oro
San Antonio, TX 78233-6748
Phone: (210) 651-3339
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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 (TX)

Record details

NPI number1326069352
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedJuly 23, 2006
Last updated in NPPESJuly 8, 2007

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