Individual provider · Type 1 NPI

Kevin Richard Johnson, COTA

Occupational Therapy Assistant · Weyauwega, WI

NPI number 1962654301 Active

Practice location

717 E Alfred St
Weyauwega, WI 54983-9024

Call (920) 867-3121 Map

Fax (920) 867-3997

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1141-027 (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 1962654301

Kevin Richard Johnson, COTA's National Provider Identifier is 1962654301, issued on Oct 16, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Weyauwega, WI. The record was last updated on Oct 16, 2008.