Individual provider · Type 1 NPI

Jacqueline Lee Polakowski, COTA

Occupational Therapy Assistant · South Milwaukee, WI

NPI number 1215159348 Active

Practice location

3821 S Chicago Ave
South Milwaukee, WI 53172-3712

Call (414) 762-6379 Map

Mailing address

1717 Oak St
South Milwaukee, WI 53172-1455

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X83027 (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 1215159348

Jacqueline Lee Polakowski, COTA's National Provider Identifier is 1215159348, issued on May 2, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in South Milwaukee, WI. The record was last updated on Jul 9, 2007.