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

Individual provider Occupational Therapy Assistant · NPI 1528310380

Kimberly Etheredge, COTA/L is an Occupational Therapy Assistant in Greenwood, South Carolina. Licensed in South Carolina. Registered with an NPI since 2012.

Licensed in
SC
In the registry since
2012
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

1530 Pkwy
Greenwood, SC 29646-4027
Phone: (864) 330-1800
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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 3114 (SC)

Record details

NPI number1528310380
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedOctober 3, 2012
Last updated in NPPESApril 2, 2013

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