Individual provider · Type 1 NPI

Lisa Marie Mangelsdorff, COTA/L

Occupational Therapy Assistant · Midlothian, IL

NPI number 1891935136 Active

Practice location

14520 Hamlin Ave
Midlothian, IL 60445-2816

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057-001348 (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 1891935136

Lisa Marie Mangelsdorff, COTA/L's National Provider Identifier is 1891935136, issued on Feb 26, 2009. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Midlothian, IL. The record was last updated on Feb 26, 2009.