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

Jeremy E Detample, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1386308161

Jeremy E Detample, COTA/L is an Occupational Therapy Assistant in Middletown, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021
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

3953 Roosevelt Blvd Apt B
Middletown, OH 45044-6627
Phone: (513) 291-5671
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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 OTA006100 (OH)

Record details

NPI number1386308161
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedOctober 27, 2021
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021
Mailing address7171 Keck Park Cir Nw, North Canton, OH 44720-6301

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