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

Individual provider Occupational Therapy Assistant · NPI 1508509001

Kimberly Boan, COTA is an Occupational Therapy Assistant in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
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

3520 S Nova Rd
Port Orange, FL 32129-3725
Phone: (386) 281-8193
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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 18904 (FL)

Record details

NPI number1508509001
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedApril 14, 2022
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023

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