Jennifer Lee Whitacre, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1902366065

Jennifer Lee Whitacre, COTA/L is an Occupational Therapy Assistant in Wiley Ford, West Virginia. Licensed in Maryland and West Virginia. Registered with an NPI since 2019.

Licensed in: MD, WV
In the registry since: 2019
Specialties on file: 2

What do these letters mean?

COTA/L — Certified Occupational Therapy Assistant, Licensed: An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

142 Highland Ave
Wiley Ford, WV 26767-9735
Phone: (304) 813-2604

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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 C2260 (WV)
Occupational Therapy Assistant	Taxonomy 224Z00000X · Licence A02704 (MD)

Record details

NPI number	1902366065
Entity type	Individual (Type 1)
Gender	Female
Credentials	COTA/L
Sole proprietor	No
NPI enumerated	March 23, 2019
Last updated in NPPES	March 23, 2019