Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN KENNETH VANDERYT, COTA/L
Active Sole ProprietorJORDAN KENNETH VANDERYT, COTA/L is a Occupational Therapy Assistant healthcare provider located in MAINEVILLE, Ohio. NPI 1639942360 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MAINEVILLE, OH
Registration Details
- NPI Number
- 1639942360
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2023 (2.7958429338861 yrs)
- Last Updated
- Nov 3, 2023
- License
-
OTA008534 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 MARGE SCHOTT WAYMAINEVILLE, OH, 450398863Browse OH providers · Browse ZIP 45039
- Phone
- 5135835161
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in MAINEVILLE, OH
| Name | Credential | NPI |
|---|---|---|
| MICHELLE ANN MOORE | — | 1942598123 |
| STACIE ONLEY | — | 1497158950 |
| MARIA WARREN | COTA | 1568173227 |
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.