Individual provider · Type 1 NPI

Molly Marie Brooks, COTA

Occupational Therapy Assistant · Fond Du Lac, WI

NPI number 1750594065 Active

Practice location

845 South Main Street, Suite 120
Fond Du Lac, WI 54935

Fax (920) 322-1362

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000X1180027 (WI)
Occupational Therapy Assistant Primary 224Z00000X1198-827 (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 1750594065

Molly Marie Brooks, COTA's National Provider Identifier is 1750594065, issued on May 7, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Feb 1, 2010.