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

Individual provider Occupational Therapy Assistant · NPI 1427203827

Justine Ann Bantle, COTA is an Occupational Therapy Assistant in Peshtigo, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
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

701 Willow St
Peshtigo, WI 54157
Phone: (715) 582-3962
Fax: (715) 582-9115
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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 1992-027 (WI)

Record details

NPI number1427203827
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedNovember 26, 2008
Last updated in NPPESNovember 26, 2008

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