Individual provider · Type 1 NPI

Carly Gail Wagonschutz, COTA/L

Occupational Therapy Assistant · East Lansing, MI

NPI number 1225566003 Active

Practice location

2530 Marfitt Rd
East Lansing, MI 48823-6343

Call (866) 486-8811 Map

Mailing address

1217 Schavey Rd
Dewitt, MI 48820-9523

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202008251 (MI)

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 1225566003

Carly Gail Wagonschutz, COTA/L's National Provider Identifier is 1225566003, issued on May 24, 2017. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in East Lansing, MI. The record was last updated on May 24, 2017.