Most Relevant Information
Provider Data
| NPI Number: | 1003228370 |
| Provider Name: | JAMIE GILLETTE COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OTA.4705 |
Most Important Dates
| Enumeration Date: | 05/21/2014 |
| Last Updated: | 05/21/2014 |
Provider Practice Location
219 PAGE ST
TOLEDO
OH
436201430
Practice Location Phone/Fax
| Phone: | 4198657487 |
| Fax: |
Provider Mailing Location
3176 CHELTENHAM RD
TOLEDO
OH
436061816
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |