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

Individual provider Occupational Therapy Assistant · NPI 1972018349

Holly M Randle, COTA is an Occupational Therapy Assistant in Bloomer, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017
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

1731 17th Ave
Bloomer, WI 54724-1512
Phone: (715) 568-4669
Fax: (715) 568-4673
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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 5399-27 (WI)

Record details

NPI number1972018349
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedDecember 7, 2017
Last updated in NPPESDecember 7, 2017

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