Individual provider · Type 1 NPI

Jennifer Radke, COTA

Occupational Therapy Assistant · Mayville, WI

NPI number 1194032383 Active

Practice location

210 Mary St, Apt. 103
Mayville, WI 53050-1080

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4768 (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 1194032383

Jennifer Radke, COTA's National Provider Identifier is 1194032383, issued on Sep 9, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Mayville, WI. The record was last updated on Aug 6, 2013.