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

Individual provider Occupational Therapy Assistant · NPI 1194300608

Kimberly Sue Braddock, COTA is an Occupational Therapy Assistant in Newark, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021
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

1440 Deer Trce
Newark, OH 43055-9746
Phone: (740) 405-6544
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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 OTA007843 (OH)

Record details

NPI number1194300608
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 16, 2021
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021
Mailing address7171 Keck Park Cir Nw, North Canton, OH 44720-6301

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