Individual provider · Type 1 NPI

Kelly Elise Jackson, COTA/L

Occupational Therapy Assistant · Little Rock, AR

NPI number 1073998621 Active

Practice location

8109 Interstate 30
Little Rock, AR 72209-4840

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOT-A986 (AR)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1073998621

Kelly Elise Jackson, COTA/L's National Provider Identifier is 1073998621, issued on Jul 24, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Little Rock, AR. The record was last updated on Jul 24, 2015.