Individual provider · Type 1 NPI

Lisa Ann Johnson, COTA/L

Occupational Therapy Assistant · Waukegan, IL

NPI number 1417692401 Active

Practice location

1615 Sunset Ave
Waukegan, IL 60087-3810

Mailing address

38098 N Holdridge Ave
Beach Park, IL 60087-5416

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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 1417692401

Lisa Ann Johnson, COTA/L's National Provider Identifier is 1417692401, issued on May 3, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Waukegan, IL. The record was last updated on May 3, 2022.