Individual provider · Type 1 NPI

Brooke Tank, COTA

Occupational Therapy Assistant · Appleton, WI

NPI number 1508298084 Active

Practice location

325 E Florida Ave
Appleton, WI 54911-1325

Mailing address

301 S Main St
Black Creek, WI 54106-9518

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000X4973-27 (WI)
Occupational Therapy Assistant Primary 224Z00000X302705 (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 1508298084

Brooke Tank, COTA's National Provider Identifier is 1508298084, issued on Aug 6, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Appleton, WI. The record was last updated on Dec 14, 2020.