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

Individual provider Occupational Therapy Assistant · NPI 1689910663

Jennifer Marie Polly, COTA is an Occupational Therapy Assistant in Vincennes, Indiana. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012
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

3801 Old Bruceville Rd
Vincennes, IN 47591-3889
Phone: (812) 886-4677
Fax: (812) 886-4678
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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 32002226A (IN)

Record details

NPI number1689910663
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedDecember 20, 2012
Last updated in NPPESDecember 20, 2012

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