Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laura Wilson, C-OTA

Individual provider Occupational Therapy Assistant · NPI 1760833719

Laura Wilson, C-OTA is an Occupational Therapy Assistant in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
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Practice location Address checks out

2035 W Iles Ave Ste C
Springfield, IL 62704-4192
Phone: (800) 773-1682
Fax: (309) 713-2898
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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 057.004529 (IL)

Record details

NPI number1760833719
Entity typeIndividual (Type 1)
GenderFemale
Credentials C-OTA
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESJune 30, 2016

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