Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE GIBBONS, OTA
ActiveJAKE GIBBONS, OTA is a Occupational Therapy Assistant healthcare provider located in FONTANELLE, Iowa. NPI 1043488562 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · FONTANELLE, IA
Registration Details
- NPI Number
- 1043488562
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 19, 2008 (18.440144902671 yrs)
- Last Updated
- Feb 19, 2008
- License
-
00306 (IA)
Practice Information
- Address
-
326 SUMMERSET STFONTANELLE, IA, 508468098Browse IA providers · Browse ZIP 50846
- Phone
- 6158966400
- Fax
- 6158965177
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.