Individual provider · Type 1 NPI

Lisa Stulgate, COTA/L

Occupational Therapy Assistant · Glenview, IL

NPI number 1588035893 Active

Practice location

3703 West Lake Avenue Suite 200
Glenview, IL 60026-1223

Mailing address

5659 Mill Trace Drive
Dunwoody, GA 30338

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057003616 (IL)

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 1588035893

Lisa Stulgate, COTA/L's National Provider Identifier is 1588035893, issued on Oct 13, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Glenview, IL. The record was last updated on Oct 13, 2015.