Individual provider · Type 1 NPI

Jennifer Rose, COTA/L

Occupational Therapy Assistant · Jacksonville, FL

NPI number 1710883111 Active

Practice location

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618

Fax (904) 485-8876

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA20737 (FL)

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 1710883111

Jennifer Rose, COTA/L's National Provider Identifier is 1710883111, issued on Oct 14, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 14, 2026.