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Jenna Ellerbrock, COTA/L

Occupational Therapy Assistant in Archbold, OH. Individual provider (NPI-1).

NPI number1104370097
StatusActive
Last updated in NPPESAug 8, 2016

Details

NPI
1104370097
Entity type
Individual (NPI-1)
Name
Jenna Ellerbrock
Credential
COTA/L
Sex
Female
Sole proprietor
No
Enumeration date
Aug 8, 2016
Last updated
Aug 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant06547OHYes

Practice location

205 Nolan Pkwy
Archbold, OH 43502-8404

Phone 567-444-4800

Mailing address

205 Nolan Pkwy
Archbold, OH 43502-8404

Phone 567-444-4800

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Other Occupational Therapy Assistant providers in Archbold, OH

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