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

Individual provider Occupational Therapy Assistant · NPI 1396272571

Justine Coburn, COTA is an Occupational Therapy Assistant in Madison, 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

545 W Dayton St
Madison, WI 53703-1967
Phone: (608) 663-1879
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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 4929-27 (WI)

Record details

NPI number1396272571
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedMay 18, 2017
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

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