Individual provider · Type 1 NPI

Reanna Jean Momber, COTA

Occupational Therapy Assistant · Green Bay, WI

NPI number 1629580402 Active

Practice location

2845 Greenbrier Rd
Green Bay, WI 54311-6519

Mailing address

2307 Hillshire Dr Apt 3C
Sheboygan, WI 53081-5475

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5396-27 (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 1629580402

Reanna Jean Momber, COTA's National Provider Identifier is 1629580402, issued on Nov 1, 2017. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Green Bay, WI. The record was last updated on Nov 1, 2017.