Individual provider · Type 1 NPI

Marjorie Mary Peterson, COTA

Occupational Therapy Assistant · Rice Lake, WI

NPI number 1447594932 Active

Practice location

2035 21 1/4 St Apt 1
Rice Lake, WI 54868-8809

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4678-27 (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 1447594932

Marjorie Mary Peterson, COTA's National Provider Identifier is 1447594932, issued on Nov 21, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Rice Lake, WI. The record was last updated on Nov 21, 2012.