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

Individual provider Occupational Therapy Assistant · NPI 1023500741

Eileen M Fossum, COTA is an Occupational Therapy Assistant in Viroqua, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2018
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

614 S Rock Ave
Viroqua, WI 54665-1936
Phone: (608) 637-2171
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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 4813-27 (WI)

Record details

NPI number1023500741
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedMay 30, 2018
Last updated in NPPESJune 16, 2018

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