Individual provider · Type 1 NPI

Caroline Matlock, COTA

Occupational Therapy Assistant · Sheboygan, WI

NPI number 1790140184 Active

Practice location

1902 Mead Ave
Sheboygan, WI 53081-6140

Call (920) 458-8333 Map

Mailing address

2225 Samantha St Apt 43
De Pere, WI 54115-8047

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5205 (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 1790140184

Caroline Matlock, COTA's National Provider Identifier is 1790140184, issued on Dec 29, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Sheboygan, WI. The record was last updated on Dec 29, 2015.