Individual provider · Type 1 NPI

Jenna Ellerbrock, COTA/L

Occupational Therapy Assistant · Archbold, OH

NPI number 1104370097 Active

Practice location

205 Nolan Pkwy
Archbold, OH 43502-8404

Call (567) 444-4800 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X06547 (OH)

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 1104370097

Jenna Ellerbrock, COTA/L's National Provider Identifier is 1104370097, issued on Aug 8, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Archbold, OH. The record was last updated on Aug 8, 2016.