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

Logan James Wilberding, COTA

Individual provider Occupational Therapy Assistant · NPI 1104692458

Logan James Wilberding, COTA is an Occupational Therapy Assistant in Evansville, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
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

470 Garfield Ave
Evansville, WI 53536-1099
Phone: (608) 882-6559
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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 7115-27 (WI)

Record details

NPI number1104692458
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedNovember 28, 2023
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023

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