Individual provider · Type 1 NPI

Madisen Blaire Wirtel, COTA/L

Occupational Therapy Assistant · Concord, NC

NPI number 1053910463 Active

Practice location

140 Cabarrus Ave W
Concord, NC 28025-5150

Mailing address

195 Obrien Pl SW
Concord, NC 28025-5673

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X12646 (NC)

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 1053910463

Madisen Blaire Wirtel, COTA/L's National Provider Identifier is 1053910463, issued on Oct 19, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Concord, NC. The record was last updated on Oct 19, 2020.