Individual provider · Type 1 NPI

Laura Wilson, C-OTA

Occupational Therapy Assistant · Springfield, IL

NPI number 1760833719 Active

Practice location

2035 W Iles Ave, Ste C
Springfield, IL 62704-4192

Call (800) 773-1682 Map

Fax (309) 713-2898

Mailing address

97 Eastgate Dr
Washington, IL 61571-9271

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.004529 (IL)

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 1760833719

Laura Wilson, C-OTA's National Provider Identifier is 1760833719, issued on Jun 30, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Springfield, IL. The record was last updated on Jun 30, 2016.