Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Glarissa Heredia de Jesus, COTA

Individual provider Occupational Therapy Assistant · NPI 1174334668

Glarissa Heredia de Jesus, COTA is an Occupational Therapy Assistant in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2025
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

4712 Chester Ave
Philadelphia, PA 19143-3513
Phone: (215) 727-4450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OP010106 (PA)

Record details

NPI number1174334668
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedJanuary 15, 2025
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

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