Individual provider · Type 1 NPI

Jeremy Etisomba, OTR/L

Neurorehabilitation Occupational Therapist · Cincinnati, OH

NPI number 1609379718 Active

Practice location

11440 Rose Ln
Cincinnati, OH 45246-2922

Specialties and licenses

TaxonomyCodeLicense
Neurorehabilitation Occupational Therapist Primary 225XN1300XOT010001 (OH)

Neurorehabilitation Occupational Therapist: Definition to come...

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About NPI 1609379718

Jeremy Etisomba, OTR/L's National Provider Identifier is 1609379718, issued on Mar 14, 2018. The primary taxonomy on file is Neurorehabilitation Occupational Therapist (225XN1300X), and the practice location is in Cincinnati, OH. The record was last updated on Oct 2, 2026.