Individual provider · Type 1 NPI

Kim Marie Vander Galien, COTA

Occupational Therapy Assistant · Beaver Dam, WI

NPI number 1699948232 Active

Practice location

104 Fakes Ct
Beaver Dam, WI 53916-2699

Call (920) 219-4941 Map

Mailing address

108 Windmill Way
Randolph, WI 53956-1340

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X793-027 (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 1699948232

Kim Marie Vander Galien, COTA's National Provider Identifier is 1699948232, issued on Apr 3, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Beaver Dam, WI. The record was last updated on Oct 4, 2021.