Provider Demographics
NPI:1578696704
Name:THERBER, JERRI ANN (COTA)
Entity Type:Individual
Prefix:MRS
First Name:JERRI
Middle Name:ANN
Last Name:THERBER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5241 NITTANY WAY
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47720-1723
Mailing Address - Country:US
Mailing Address - Phone:812-457-7261
Mailing Address - Fax:
Practice Address - Street 1:5539 HIGHWAY FORTY SEVEN
Practice Address - Street 2:
Practice Address - City:CHASE CITY
Practice Address - State:VA
Practice Address - Zip Code:23924-3727
Practice Address - Country:US
Practice Address - Phone:434-372-4063
Practice Address - Fax:434-372-4162
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant