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

Elizabeth Fuller, COTA

Individual provider Occupational Therapy Assistant · NPI 1689374233

Elizabeth Fuller, COTA is an Occupational Therapy Assistant in Lake Geneva, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
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

611 Harmony Dr
Lake Geneva, WI 53147-8800
Phone: (262) 249-1960
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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 5336 (WI)

Record details

NPI number1689374233
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 2, 2023
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023
Mailing addressN7040 Peck Station Rd, Elkhorn, WI 53121-3244

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