Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERROLD GIBBS, COTA/L
Active Sole ProprietorMR. JERROLD GIBBS, COTA/L is a Occupational Therapy Assistant healthcare provider located in DECATUR, Georgia. NPI 1659965838 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · DECATUR, GA
Registration Details
- NPI Number
- 1659965838
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2021 (5.4546048189998 yrs)
- Last Updated
- Feb 27, 2021
- Licenses
-
OTA3164 (CA)OTA001697 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2787 N DECATUR RDDECATUR, GA, 300335919Browse GA providers · Browse ZIP 30033
- Phone
- 4042920626
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapy Assistant
Other Occupational Therapy Assistant Providers in DECATUR, GA
| Name | Credential | NPI |
|---|---|---|
| KIA MARIA JACKSON | COTA | 1578880555 |
| REBECCA WARD | — | 1467884254 |
| ELIZABETH SCOTT | COTA | 1962814251 |
| MS. ANN MARIE BARNES | COTA/L | 1568992238 |
| APRIL INGRAM | COTA/L | 1891353884 |
| KAPRICE ESTELLE | — | 1285283135 |
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.