Individual provider · Type 1 NPI

Eileen M. Fossum, COTA

Occupational Therapy Assistant · Viroqua, WI

NPI number 1023500741 Active

Practice location

614 S Rock Ave
Viroqua, WI 54665-1936

Call (608) 637-2171 Map

Mailing address

N1530 Breidel Coulee Rd
La Crosse, WI 54601-2168

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4813-27 (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 1023500741

Eileen M. Fossum, COTA's National Provider Identifier is 1023500741, issued on May 30, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Viroqua, WI. The record was last updated on Jun 16, 2018.