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

Individual provider Occupational Therapy Assistant · NPI 1679912794

Mr. Jacob Andrew Sobczak, COTA is an Occupational Therapy Assistant in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2013
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

6263 N Green Bay Ave
Milwaukee, WI 53209-3823
Phone: (414) 351-0543
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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 4988-27 (WI)

Record details

NPI number1679912794
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedJune 21, 2013
Last updated in NPPESJune 21, 2013

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