Individual provider · Type 1 NPI

Jerrold Gibbs, COTA/L

Occupational Therapy Assistant · Decatur, GA

NPI number 1659965838 Active

Practice location

2787 N Decatur Rd
Decatur, GA 30033-5919

Call (404) 292-0626 Map

Mailing address

152 Spring St
Jonesboro, GA 30236-3555

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000XOTA3164 (CA)
Occupational Therapy Assistant Primary 224Z00000XOTA001697 (GA)

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 1659965838

Jerrold Gibbs, COTA/L's National Provider Identifier is 1659965838, issued on Feb 27, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Decatur, GA. The record was last updated on Feb 27, 2021.