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

Olivia Renee Lake, OTR/L

Individual provider Occupational Therapist · NPI 1891490116

Olivia Renee Lake, OTR/L is an Occupational Therapist in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1101 E South River St
Appleton, WI 54915-2223
Phone: (920) 830-9911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 8169-26 (WI)

Record details

NPI number1891490116
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 4, 2023
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

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