SearchIllinoisOccupational Therapy Assistant

Joshua Entenman, COTA

NPI 1083012785 · on the registry since 2014 · sole proprietor

Practice

Address
12171 Love Rd
Roscoe, IL 61073
Phone
(608) 481-0400

Additional practice sites

  • 5531 Hopkinton Dr, Fort Wayne, IN

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois