Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brooke Tank, COTA

Individual provider Occupational Therapy Assistant · NPI 1508298084

Brooke Tank, COTA is an Occupational Therapy Assistant in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013
Specialties on file
2
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

325 E Florida Ave
Appleton, WI 54911-1325
Phone: (920) 731-7310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 302705 (WI)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 4973-27 (WI)

Record details

NPI number1508298084
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedAugust 6, 2013
Last updated in NPPESDecember 14, 2020
Certification dateDecember 14, 2020
Mailing address301 S Main St, Black Creek, WI 54106-9518

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