Individual provider · Type 1 NPI

Jan Pettibone, OT/L

Occupational Therapist · Dayton, OH

NPI number 1649674763 Active

Practice location

4801 Springfield St
Dayton, OH 45431-1084

Call (937) 236-9965 Map

Mailing address

200 S Keowee St
Dayton, OH 45402-2242

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT 001441 (OH)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1649674763

Jan Pettibone, OT/L's National Provider Identifier is 1649674763, issued on Oct 17, 2014. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Dayton, OH. The record was last updated on Oct 17, 2014.