Jake Gibbons, OTA
Jake Gibbons, OTA is an Occupational Therapy Assistant in Fontanelle, Iowa. Licensed in Iowa. Registered with an NPI since 2008.
- Licensed in
- IA
- In the registry since
- 2008
Practice location Address checks out
326 Summerset StFontanelle, IA 50846-8098
Phone: (615) 896-6400
Fax: (615) 896-5177
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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 00306 (IA) |
|---|
Record details
| NPI number | 1043488562 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OTA |
| Sole proprietor | No |
| NPI enumerated | February 19, 2008 |
| Last updated in NPPES | February 19, 2008 |
| Mailing address | 624 W North St, Madrid, IA 50156-1024 |