Individual provider · Type 1 NPI

Christine Ann Dietrich, COTA

Occupational Therapy Assistant · Shawano, WI

NPI number 1487820916 Active

Practice location

1436 S Lincoln St
Shawano, WI 54166-3427

Call (715) 526-6111 Map

Mailing address

918 S Main St
Shawano, WI 54166-3262

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4598-027 (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 1487820916

Christine Ann Dietrich, COTA's National Provider Identifier is 1487820916, issued on May 5, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Shawano, WI. The record was last updated on Jul 1, 2025.