Individual provider · Type 1 NPI

Susan M. Coyle, COTA

Occupational Therapy Assistant · Green Bay, WI

NPI number 1316389786 Active

Practice location

2305 San Luis Pl
Green Bay, WI 54304-5211

Mailing address

12 Century Ct
Appleton, WI 54914-6403

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X183-27 (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 1316389786

Susan M. Coyle, COTA's National Provider Identifier is 1316389786, issued on Jul 25, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Green Bay, WI. The record was last updated on Jul 25, 2013.