Individual provider · Type 1 NPI

Jordan Alexandra Lombardo, COTA/L

Occupational Therapy Assistant · Shelby Township, MI

NPI number 1093694242 Active

Practice location

4200 W Utica Rd
Shelby Township, MI 48317-4766

Mailing address

12394 Conservation Trl
Shelby Township, MI 48315-3420

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202010268 (MI)

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…

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About NPI 1093694242

Jordan Alexandra Lombardo, COTA/L's National Provider Identifier is 1093694242, issued on Sep 1, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Shelby Township, MI. The record was last updated on Sep 1, 2025.