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

Individual provider Occupational Therapy Assistant · NPI 1831222116

Mr. Eric Keith Tischendorf, COTA is an Occupational Therapy Assistant in Antigo, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
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

112 E 5th Ave
Antigo, WI 54409-2710
Phone: (715) 623-9449
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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 857-027 (WI)

Record details

NPI number1831222116
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 14, 2007
Last updated in NPPESJuly 9, 2007

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