Individual provider · Type 1 NPI

Holly M. Randle, COTA

Occupational Therapy Assistant · Bloomer, WI

NPI number 1972018349 Active

Practice location

1731 17th Ave
Bloomer, WI 54724-1512

Call (715) 568-4669 Map

Fax (715) 568-4673

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5399-27 (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 1972018349

Holly M. Randle, COTA's National Provider Identifier is 1972018349, issued on Dec 7, 2017. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Bloomer, WI. The record was last updated on Dec 7, 2017.