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

Individual provider Occupational Therapy Assistant · NPI 1780961680

MS. Kelly Rae Hagan, COTA/L is an Occupational Therapy Assistant in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
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

7300 Oleander Ave
Port St Lucie, FL 34952-8221
Phone: (772) 466-4100
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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 289907 (FL)

Record details

NPI number1780961680
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedNovember 7, 2011
Last updated in NPPESNovember 7, 2011

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