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

Individual provider Occupational Therapy Assistant · NPI 1578743373

Georgia J Waterman, OTA is an Occupational Therapy Assistant in Beloit, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
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Practice location Address checks out

64 Eclipse Ctr
Beloit, WI 53511-3550
Phone: (608) 363-6200
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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 128-027 (WI)

Record details

NPI number1578743373
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorNo
NPI enumeratedNovember 8, 2007
Last updated in NPPESNovember 8, 2007

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