Individual provider · Type 1 NPI

Jake Gibbons, OTA

Occupational Therapy Assistant · Fontanelle, IA

NPI number 1043488562 Active

Practice location

326 Summerset St
Fontanelle, IA 50846-8098

Fax (615) 896-5177

Mailing address

624 W North St
Madrid, IA 50156-1024

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X00306 (IA)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

Another provider at this address

About NPI 1043488562

Jake Gibbons, OTA's National Provider Identifier is 1043488562, issued on Feb 19, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fontanelle, IA. The record was last updated on Feb 19, 2008.