Individual provider · Type 1 NPI

Stephanie Keranen, COTA

Occupational Therapy Assistant · Green Bay, WI

NPI number 1003193236 Active

Practice location

2305 San Luis Pl
Green Bay, WI 54304-5211

Call (920) 494-5231 Map

Mailing address

420 5th St
Neenah, WI 54956-2867

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4715-27 (WI)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1003193236

Stephanie Keranen, COTA's National Provider Identifier is 1003193236, issued on Nov 16, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Green Bay, WI. The record was last updated on Nov 16, 2011.