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

MS. Sally Ann Wickman, COTA

Individual provider Occupational Therapy Assistant · NPI 1861697542

MS. Sally Ann Wickman, COTA is an Occupational Therapy Assistant in Port Charlotte, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
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

3417 Tamiami Trl Ste A
Port Charlotte, FL 33952-8158
Phone: (941) 624-6222
Fax: (941) 624-6821
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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 OT6185 (FL)

Record details

NPI number1861697542
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedJune 20, 2007
Last updated in NPPESJuly 8, 2007
Mailing address336 Shore Rd, Venice, FL 34285-3725

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