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

Individual provider Occupational Therapy Assistant · NPI 1871801555

Maxine Dianna Wilson, COTA is an Occupational Therapy Assistant in Chicago Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
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

10300 S West Highway Lexington
Chicago Ridge, IL 60615
Phone: (708) 945-3455
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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 057002692 (IL)

Record details

NPI number1871801555
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedSeptember 16, 2010
Last updated in NPPESSeptember 16, 2010

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