Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kennedy Fabian, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1679293310

Kennedy Fabian, COTA/L is an Occupational Therapy Assistant in LA Crosse, Wisconsin. Works from 2 locations. Licensed in Illinois and Wisconsin.

Licensed in
IL, WI
In the registry since
2022
Specialties on file
2
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

2405 Travis St
LA Crosse, WI 54601-6835
Phone: (608) 789-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 212 Barney Dr, Joliet, IL 60435-5271 — (815) 725-2194

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 7094-27 (WI)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 057.005857 (IL)

Record details

NPI number1679293310
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedSeptember 1, 2022
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026

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