Individual provider · Type 1 NPI
Tracy Rae Johanneck-Utphall, COTA
Occupational Therapy Assistant · Racine, WI
Practice location
3248 Shortridge Dr
Racine, WI 53402-1367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 1193-27 (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 1730416769
Tracy Rae Johanneck-Utphall, COTA's National Provider Identifier is 1730416769, issued on Nov 12, 2009. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Racine, WI. The record was last updated on Nov 12, 2009.