Jerusha Otieno

Occupational Therapy Assistant · Fort Worth, TX

Individual Active NPI

NPI number 1083194146

Practice location

4600 Heritage Trace Pkwy
Fort Worth, TX 76244-8900
Phone
(817) 741-9360

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NPI record

NPI
1083194146
Entity type
Individual (Type 1)
Enumeration date
August 17, 2018
Last updated
August 17, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 211239 TX

About Jerusha Otieno

Jerusha Otieno is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 4600 Heritage Trace Pkwy, Fort Worth, TX 76244-8900. The NPI number 1083194146 was assigned on August 17, 2018 and the record was last updated on August 17, 2018.

Jerusha Otieno lists a license in the registry: #211239 (TX) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerusha Otieno?

The NPI number is 1083194146.

What is the phone number of Jerusha Otieno?

The phone number listed for the practice location is (817) 741-9360.

Where is Jerusha Otieno located?

4600 Heritage Trace Pkwy, Fort Worth, TX 76244-8900.

What is the taxonomy code for Jerusha Otieno?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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