Individual provider · Type 1 NPI

Jeanine Patricia Davis, COTA

Occupational Therapy Assistant · Gary, IN

NPI number 1164794897 Active

Practice location

2350 Taft St
Gary, IN 46404-3349

Call (219) 977-2600 Map

Mailing address

5299 Lyndell Ave
Portage, IN 46368-1847

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32000437A (IN)

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 1164794897

Jeanine Patricia Davis, COTA's National Provider Identifier is 1164794897, issued on Jan 26, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Gary, IN. The record was last updated on Jan 26, 2012.