Individual provider · Type 1 NPI

Kimberly Leis, OTA

Occupational Therapy Assistant · Elroy, WI

NPI number 1477942191 Active

Practice location

307 Royall Ave
Elroy, WI 53929-1044

Mailing address

24352 County Highway M
Wilton, WI 54670-6012

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5084-27 (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 1477942191

Kimberly Leis, OTA's National Provider Identifier is 1477942191, issued on Jan 19, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Elroy, WI. The record was last updated on Jan 19, 2015.