Provider Demographics
NPI:1477198364
Name:GEARING, JACQUELYN (OTR/L)
Entity Type:Individual
Prefix:
First Name:JACQUELYN
Middle Name:
Last Name:GEARING
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JACQUELYN
Other - Middle Name:
Other - Last Name:PURCELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:8365 WATERBURY CT UNIT 208
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-7346
Mailing Address - Country:US
Mailing Address - Phone:513-649-1614
Mailing Address - Fax:
Practice Address - Street 1:3801 E GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-1583
Practice Address - Country:US
Practice Address - Phone:513-745-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT010795225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist