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

Individual provider Occupational Therapy Assistant · NPI 1851809420

Kelly Pennock, COTA is an Occupational Therapy Assistant in Mc Lean, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2018
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

1739 Kirby Rd
Mc Lean, VA 22101-4817
Phone: (800) 451-5121
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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 (VA)

Record details

NPI number1851809420
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedJanuary 17, 2018
Last updated in NPPESJanuary 17, 2018

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