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

Individual provider Occupational Therapy Assistant · NPI 1730999350

Kelly Lynne Destefano, COTA/L is an Occupational Therapy Assistant in Vero Beach, Florida. Practices as a sole proprietor. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2025
Specialties on file
2
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

2150 Pine Creek Blvd Apt 105
Vero Beach, FL 32966-5204
Phone: (845) 803-0564
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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 OTA19443 (FL)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 010179 (NY)

Record details

NPI number1730999350
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedJanuary 8, 2025
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025

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