Individual provider · Type 1 NPI

Angela Jean Ebben

Occupational Therapy Assistant · Menasha, WI

NPI number 1144117920 Active

Practice location

1550 Midway Pl
Menasha, WI 54952-1165

Call (920) 738-2000 Map

Mailing address

PO Box 331
Butte Des Morts, WI 54927-0331

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5874-27 (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 1144117920

Angela Jean Ebben's National Provider Identifier is 1144117920, issued on Jun 23, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Menasha, WI. The record was last updated on Jul 17, 2025.