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

Individual provider Occupational Therapy Assistant · NPI 1427398684

Theresa Fairbanks, COTA/L is an Occupational Therapy Assistant in Orange Park, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
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

1215 Kinsley Ave
Orange Park, FL 32073
Phone: (190) 426-9892
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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 OTA9801 (FL)

Record details

NPI number1427398684
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedFebruary 26, 2013
Last updated in NPPESFebruary 26, 2013

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