Individual provider · Type 1 NPI

Paulina Vivanco, COTA/L

Occupational Therapy Assistant · Chicago, IL

NPI number 1043170251 Active

Practice location

1749 N Wells St
Chicago, IL 60614-5877

Call (312) 440-9646 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057006241 (IL)

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 1043170251

Paulina Vivanco, COTA/L's National Provider Identifier is 1043170251, issued on Nov 12, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Chicago, IL. The record was last updated on Nov 12, 2025.