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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LOGAN JAMES WILBERDING, COTA

Active

Occupational Therapy Assistant · EVANSVILLE, WI

Registration Details

NPI Number
1104692458
Provider Type
Individual
Gender
Male
NPI Issued
Nov 28, 2023 (2.436469743114 yrs)
Last Updated
Nov 28, 2023
License
7115-27 (WI)

Practice Information

Address
470 GARFIELD AVE
EVANSVILLE, WI, 535361099
Browse WI providers · Browse ZIP 53536
Phone
6088826559
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in EVANSVILLE, WI

Name Credential NPI
MRS. KATIE ANN KULIS COTA 1477722239
KARMEN LEE MAAG 1730605247
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.