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

MS. Kristin Forman, COTA

Individual provider Occupational Therapy Assistant · NPI 1306063789

MS. Kristin Forman, COTA is an Occupational Therapy Assistant in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Partly verified

Some contact details are missing from the federal record.

Liberty Court 1560 Lombard St
Philadelphia, PA 19146
Phone: (215) 546-5960
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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 OP003620L (PA)

Record details

NPI number1306063789
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedApril 19, 2007
Last updated in NPPESJuly 8, 2007

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