Individual provider · Type 1 NPI

Mackinzie Lee Verdegan, COTA

Occupational Therapy Assistant · Bloomer, WI

NPI number 1326713694 Active

Practice location

2217 Duncan Road
Bloomer, WI 54724

Call (715) 641-0510 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5795-27 (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 1326713694

Mackinzie Lee Verdegan, COTA's National Provider Identifier is 1326713694, issued on Aug 10, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Bloomer, WI. The record was last updated on Aug 22, 2025.