Individual provider · Type 1 NPI
Kristy E. Wagner, COTA
Occupational Therapy Assistant · Berlin, WI
Practice location
225 Memorial Drive
Berlin, WI 54923
Mailing address
6709 Whitetail Drive
Winneconne, WI 54986-8717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 4761027 (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…
3 other providers at this address
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About NPI 1750673513
Kristy E. Wagner, COTA's National Provider Identifier is 1750673513, issued on May 11, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Berlin, WI. The record was last updated on May 11, 2011.