Individual provider · Type 1 NPI

Glarissa Heredia de Jesus, COTA

Occupational Therapy Assistant · Philadelphia, PA

NPI number 1174334668 Active

Practice location

4712 Chester Ave
Philadelphia, PA 19143-3513

Call (215) 727-4450 Map

Mailing address

4203 Chester Ave
Philadelphia, PA 19104-4421

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOP010106 (PA)

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 1174334668

Glarissa Heredia de Jesus, COTA's National Provider Identifier is 1174334668, issued on Jan 15, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 15, 2025.