Individual provider · Type 1 NPI

Tyler Christian Mogensen, COTA

Occupational Therapy Assistant · Appleton, WI

NPI number 1003569815 Active

Practice location

325 E Florida Ave
Appleton, WI 54911-1325

Call (920) 731-7310 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5652 (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 1003569815

Tyler Christian Mogensen, COTA's National Provider Identifier is 1003569815, issued on Feb 1, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Appleton, WI. The record was last updated on Feb 1, 2022.