Individual provider · Type 1 NPI

Destry Allen Fritz, COTA

Occupational Therapy Assistant · Delavan, WI

NPI number 1407068612 Active

Practice location

905 E Geneva St
Delavan, WI 53115-1922

Fax (262) 728-6693

Mailing address

W9245 Stader Rd
Whitewater, WI 53190-4157

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1318-027 (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 1407068612

Destry Allen Fritz, COTA's National Provider Identifier is 1407068612, issued on May 3, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Delavan, WI. The record was last updated on Jul 8, 2007.