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

Jan Pettibone, OT/L

Individual provider Occupational Therapist · NPI 1649674763

Jan Pettibone, OT/L is an Occupational Therapist in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2014.

Licensed in
OH
In the registry since
2014

Practice location Address checks out

4801 Springfield St
Dayton, OH 45431-1084
Phone: (937) 236-9965
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT 001441 (OH)

Record details

NPI number1649674763
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT/L
Sole proprietorNo
NPI enumeratedOctober 17, 2014
Last updated in NPPESOctober 17, 2014

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