Individual provider · Type 1 NPI

Justine Coburn, COTA

Occupational Therapy Assistant · Madison, WI

NPI number 1396272571 Active

Practice location

545 W Dayton St
Madison, WI 53703-1967

Call (608) 663-1879 Map

Mailing address

7301 Arctic Fox Dr
Madison, WI 53719-6223

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4929-27 (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 1396272571

Justine Coburn, COTA's National Provider Identifier is 1396272571, issued on May 18, 2017. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Madison, WI. The record was last updated on May 11, 2026.