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

Susan Carol Wise, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1275875163

Susan Carol Wise, COTA/L is an Occupational Therapy Assistant in Augusta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2013
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

1120 15th St # 2902
Augusta, GA 30912-0004
Phone: (706) 721-5223
Fax: (706) 721-5228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA 000112 (GA)

Record details

NPI number1275875163
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedMarch 19, 2013
Last updated in NPPESMarch 19, 2013

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