Individual provider · Type 1 NPI
Jake Gibbons, OTA
Occupational Therapy Assistant · Fontanelle, IA
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
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 00306 (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.