Individual provider · Type 1 NPI

Emily A. Bourg, COTA

Occupational Therapy Assistant · Marshfield, WI

NPI number 1013252295 Active

Practice location

814 W 14th St
Marshfield, WI 54449-4030

Call (715) 401-0997 Map

Mailing address

300 E 21st St
Marshfield, WI 54449-5023

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4850-27 (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 1013252295

Emily A. Bourg, COTA's National Provider Identifier is 1013252295, issued on Nov 29, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Marshfield, WI. The record was last updated on Nov 29, 2012.