Individual provider · Type 1 NPI

Kristine Louise Madura, COTA

Occupational Therapy Assistant · Chicago, IL

NPI number 1124669148 Active

Practice location

4239 N Oak Park Ave
Chicago, IL 60634-1410

Mailing address

2415 New York Ave
Whiting, IN 46394-2145

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057003716 (IL)
Occupational Therapy Assistant 224Z00000X298567 (IN)

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 1124669148

Kristine Louise Madura, COTA's National Provider Identifier is 1124669148, issued on Oct 1, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 1, 2019.