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

Individual provider Occupational Therapy Assistant · NPI 1568766186

Mrs. Jeanette Wideberg, COTA is an Occupational Therapy Assistant in Sebastian, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
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

709 Doctor Ave
Sebastian, FL 32958-4821
Phone: (772) 913-1517
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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 OTA6186 (FL)

Record details

NPI number1568766186
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedDecember 23, 2010
Last updated in NPPESDecember 23, 2010

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