Individual provider · Type 1 NPI

Olivia Renee Lake, OTR/L

Occupational Therapist · Appleton, WI

NPI number 1891490116 Active

Practice location

1101 E South River St
Appleton, WI 54915-2223

Call (920) 830-9911 Map

Mailing address

228 Crestview Cir
Wrightstown, WI 54180-1078

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X8169-26 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1891490116

Olivia Renee Lake, OTR/L's National Provider Identifier is 1891490116, issued on Apr 4, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Appleton, WI. The record was last updated on Jul 17, 2025.