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

Wkl Edgerly, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1619335502

Wkl Edgerly, COTA/L is an Occupational Therapy Assistant in Eagle, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2016
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

449 S Fitness Pl
Eagle, ID 83616-6828
Phone: (208) 957-6301
Fax: (208) 228-0585
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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 OTA-1121 (ID)

Record details

NPI number1619335502
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedFebruary 5, 2016
Last updated in NPPESFebruary 5, 2016

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