Individual provider · Type 1 NPI

Lisa Ann Gross, COTA

Occupational Therapy Assistant · Plymouth, WI

NPI number 1467721597 Active

Practice location

N7135 Rocky Knoll Pkwy
Plymouth, WI 53073-3103

Call (920) 893-6441 Map

Mailing address

W6570 Hwy Mm
Elkhart Lake, WI 53020-1508

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1218.67 (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…

11 other providers at this address

About NPI 1467721597

Lisa Ann Gross, COTA's National Provider Identifier is 1467721597, issued on Dec 19, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Plymouth, WI. The record was last updated on Dec 19, 2011.