Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Leonard, COTA

Individual provider Occupational Therapy Assistant · NPI 1861883829

Jack Leonard, COTA is an Occupational Therapy Assistant in Ludington, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
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

1000 E Tinkham Ave
Ludington, MI 49431-1568
Phone: (231) 845-6291
Fax: (231) 843-4121
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Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X (MI)

Record details

NPI number1861883829
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedFebruary 12, 2015
Last updated in NPPESFebruary 12, 2015
Mailing address1000 E Tinkham Ave, Ludington, MI 49431-1568

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