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

Ketric Nedelea, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1114574746

Ketric Nedelea, COTA/L is an Occupational Therapy Assistant in Fountain Inn, 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

204 Shady Pines Ct
Fountain Inn, SC 29644-9785
Phone: (864) 408-9509
Fax: (864) 335-9036
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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 3452 (SC)

Record details

NPI number1114574746
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedAugust 19, 2019
Last updated in NPPESAugust 19, 2019

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