Erin Nicole Jones, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Marengo, OH

NPI 1992120448 · NPPES record last updated Feb 20, 2014

Key facts

NPI
1992120448
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
03567 (OH)
Practice address
1250 Township Road 16
Marengo, OH 43334-9739
Phone
(419) 768-3040
NPI assigned
Feb 20, 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
03567OHMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 03567 OH Yes

Addresses

Primary practice location

1250 Township Road 16
Marengo, OH 43334-9739

Mailing address

890 W 4TH St
Suite 100
Mansfield, OH 44906

Other providers in Marengo, OH

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

Sources for this page

Verify at the official NPI Registry.