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

Individual provider Occupational Therapy Assistant · NPI 1194032383

Jennifer Radke, COTA is an Occupational Therapy Assistant in Mayville, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in
WI
In the registry since
2010
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

210 Mary St Apt 103
Mayville, WI 53050-1080
Phone: (715) 218-2113
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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 4768 (WI)

Record details

NPI number1194032383
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedSeptember 9, 2010
Last updated in NPPESAugust 6, 2013
Mailing address210 Mary St, Apt. 103, Mayville, WI 53050-1080

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