Individual provider · Type 1 NPI

Jeremy E. Detample, COTA/L

Occupational Therapy Assistant · Middletown, OH

NPI number 1386308161 Active

Practice location

3953 Roosevelt Blvd Apt B
Middletown, OH 45044-6627

Call (513) 291-5671 Map

Mailing address

7171 Keck Park Cir NW
North Canton, OH 44720-6301

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA006100 (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 1386308161

Jeremy E. Detample, COTA/L's National Provider Identifier is 1386308161, issued on Oct 27, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Middletown, OH. The record was last updated on Oct 27, 2021.