Jeremy E Detample, COTA/L
NPI #1386308161 in Middletown, Ohio
Provider Information
- NPI Number
- 1386308161
- Entity Type
- Individual
- Name
- Jeremy E Detample, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Oct 27, 2021
- Last Updated
- Oct 27, 2021
Practice Location
- Address
- 3953 ROOSEVELT BLVD APT B
- City
- Middletown
- State
- Ohio
- ZIP Code
- 45044-6627
- Phone
- (513) 291-5671
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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