Individual provider · Type 1 NPI

Jeffrey Aaron Pennock I, OTR

Occupational Therapist · Fort Myers, FL

NPI number 1093297715 Active

Practice location

15071 Shell Point Blvd
Fort Myers, FL 33908-1639

Call (239) 454-2256 Map

Fax (239) 466-1240

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT9358 (FL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1093297715

Jeffrey Aaron Pennock I, OTR's National Provider Identifier is 1093297715, issued on Aug 29, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fort Myers, FL. The record was last updated on Aug 29, 2018.