Individual provider · Type 1 NPI

Bonnie M. Lancour, COTA

Occupational Therapy Assistant · Kenosha, WI

NPI number 1447573696 Active

Practice location

3415 Sheridan Rd
Kenosha, WI 53140-1924

Call (262) 653-2954 Map

Mailing address

375 E Golden Ln
Oak Creek, WI 53154-4509

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4694-027 (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 1447573696

Bonnie M. Lancour, COTA's National Provider Identifier is 1447573696, issued on Mar 2, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Kenosha, WI. The record was last updated on Mar 2, 2010.