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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROBERT JEROME UTLEY, COTA

Active

MR. ROBERT JEROME UTLEY, COTA is a Occupational Therapy Assistant healthcare provider located in FT GORDON, Georgia. NPI 1861829707 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · FT GORDON, GA

Registration Details

NPI Number
1861829707
Provider Type
Individual
Gender
Male
NPI Issued
Oct 10, 2013 (12.883273126944 yrs)
Last Updated
Oct 10, 2013
License
OTA001471 (GA)

Practice Information

Address
300 HOSPITAL ROAD / IPMC
FT GORDON, GA, 309055650
Browse GA providers · Browse ZIP 30905
Phone
7067878212
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.