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

Nicole E Vandenberg, COTA

Individual provider Occupational Therapy Assistant · NPI 1790026961

Nicole E Vandenberg, COTA is an Occupational Therapy Assistant in New London, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

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.

See every abbreviation used in this directory →

Practice location Address checks out

107 E Beckert Rd
New London, WI 54961-2509
Phone: (920) 982-5354
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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 289906 (WI)

Record details

NPI number1790026961
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 12, 2013
Last updated in NPPESMarch 12, 2013

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