Individual provider · Type 1 NPI

Eric Keith Tischendorf, COTA

Occupational Therapy Assistant · Antigo, WI

NPI number 1831222116 Active

Practice location

112 E 5th Ave
Antigo, WI 54409-2710

Mailing address

N1021 US Highway 45 S
Antigo, WI 54409-8856

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X857-027 (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 1831222116

Eric Keith Tischendorf, COTA's National Provider Identifier is 1831222116, issued on Mar 14, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Antigo, WI. The record was last updated on Jul 9, 2007.