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

Individual provider Occupational Therapist · NPI 1609379718

Jeremy Etisomba, OTR/L is an Occupational Therapist in Cincinnati, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

11440 Rose Ln
Cincinnati, OH 45246-2922
Phone: (513) 667-6033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT010001 (OH)

Record details

NPI number1609379718
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 14, 2018
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025

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