Individual provider · Type 1 NPI

Jeanette Louise Gulledge, COTA

Occupational Therapy Assistant · Milwaukie, OR

NPI number 1114183167 Active

Practice location

4560 SE International Way, Suite 100 Consonus Healthcare Services
Milwaukie, OR 97222

Call (971) 206-5167 Map

Fax (971) 206-5209

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X307027 (WI)

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 1114183167

Jeanette Louise Gulledge, COTA's National Provider Identifier is 1114183167, issued on Jul 30, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Milwaukie, OR. The record was last updated on Jul 30, 2008.