Individual provider · Type 1 NPI

Maxine Dianna Wilson, COTA

Occupational Therapy Assistant · Chicago Ridge, IL

NPI number 1871801555 Active

Practice location

10300 South West Highway Lexington
Chicago Ridge, IL 60615

Mailing address

14508 S Western Ave
Posen, IL 60469-1331

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057002692 (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 1871801555

Maxine Dianna Wilson, COTA's National Provider Identifier is 1871801555, issued on Sep 16, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Chicago Ridge, IL. The record was last updated on Sep 16, 2010.