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

Mark Robert Tolsma, COTA

Individual provider Occupational Therapy Assistant · NPI 1770156614

Mark Robert Tolsma, COTA is an Occupational Therapy Assistant in Shawano, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021
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

1250 S Evergreen St
Shawano, WI 54166-3514
Phone: (715) 526-3107
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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

Record details

NPI number1770156614
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedJuly 19, 2021
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing address1029 W Harris St, Appleton, WI 54914-3857

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