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

Individual provider Occupational Therapy Assistant · NPI 1033606371

Khadijah Nicole Edwards, COTA is an Occupational Therapy Assistant in Fort Lauderdale, Florida. Practices as a sole proprietor. Registered with an NPI since 2018.

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

631 E Melrose Cir
Fort Lauderdale, FL 33312-1951
Phone: (954) 599-8961
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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

Record details

NPI number1033606371
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedApril 20, 2018
Last updated in NPPESApril 20, 2018

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