Jessica Dawn Argentine, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Minerva, OH

NPI 1790195022 · NPPES record last updated May 8, 2014

Key facts

NPI
1790195022
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA05693 (OH)
Practice address
400 Carolyn CT
Minerva, OH 44657-8703
Phone
(330) 868-4104
Fax
(330) 868-7714
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA05693OHMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA05693 OH Yes

Addresses

Primary practice location

400 Carolyn CT
Minerva, OH 44657-8703

Mailing address

400 Carolyn CT
Minerva, OH 44657-8703
Phone (330) 868-4104

Other providers in Minerva, OH

All providers in Minerva, OH · Occupational Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.