Individual provider · Type 1 NPI

Nicholas A. Goranson, COTA

Occupational Therapist · Menasha, WI

NPI number 1578066437 Active

Practice location

1700 Midway Rd
Menasha, WI 54952-1230

Call (920) 739-0111 Map

Mailing address

1229 Bismarck Ave
Oshkosh, WI 54902-5616

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5256-27 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1578066437

Nicholas A. Goranson, COTA's National Provider Identifier is 1578066437, issued on Mar 16, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Menasha, WI. The record was last updated on Mar 16, 2018.