IndividualActive
Jenna Ellerbrock, COTA/L
NPI 1104370097 · Occupational Therapy Assistant · Archbold, OH
Provider details
- NPI number
- 1104370097
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 06547 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
205 Nolan Pkwy
Archbold, OH 43502-8404
Phone: (567) 444-4800
Approximate (ZIP-level) locationGet directions
Mailing address
205 Nolan Pkwy
Archbold, OH 43502-8404
Registry dates
- Enumerated
- 2016-08-08
- Last updated
- 2016-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.