SearchWisconsinOccupational Therapy Assistant

Tyler Mogensen, COTA

NPI 1003569815 · on the registry since 2022

Practice

Address
325 E Florida Ave
Appleton, WI 54911
Phone
(920) 731-7310
Organisation at this address
Tdr, Inc.
Rennes Rehabilitation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin