Individual provider · Type 1 NPI

Makenzi Gordon, COTA

Occupational Therapy Assistant · Wind Lake, WI

NPI number 1972938207 Active

Practice location

8828 Oriole Ln
Wind Lake, WI 53185-5515

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X502427 (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 1972938207

Makenzi Gordon, COTA's National Provider Identifier is 1972938207, issued on Sep 5, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Wind Lake, WI. The record was last updated on Sep 8, 2016.