Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lawrence Wilfong, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1689187981

Lawrence Wilfong, COTA/L is an Occupational Therapy Assistant in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2017
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

3148 S Kingshighway Blvd
Saint Louis, MO 63139-1118
Phone: (314) 664-4448
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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 000629 (MO)

Record details

NPI number1689187981
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedNovember 8, 2017
Last updated in NPPESNovember 8, 2017

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