Individual provider · Type 1 NPI

Andrew E. Gottheardt, OTR/L, CHT

Occupational Therapist · Kenosha, WI

NPI number 1245458918 Active

Practice location

10320 75th St Ste D
Kenosha, WI 53142-7525

Fax (630) 515-1536

Mailing address

24014 W Renwick Rd Unit 206
Plainfield, IL 60544-8711

Other practice locations

  • 1054 Milwaukee Ave Ste 200, Burlington, WI 53105-1382 · (800) 974-4378

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X4342-26 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

6 other providers at this address

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About NPI 1245458918

Andrew E. Gottheardt, OTR/L, CHT's National Provider Identifier is 1245458918, issued on Apr 20, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Kenosha, WI. The record was last updated on Sep 20, 2024.