Individual provider · Type 1 NPI

Annie Jackson, OTR/L

Occupational Therapist · Grand Rapids, MI

NPI number 1134879422 Active

Practice location

235 Wealthy St SE
Grand Rapids, MI 49503-5247

Call (616) 840-8000 Map

Other practice locations

  • 5722 Metro Way SW Ste B, Wyoming, MI 49519-9524 · (616) 840-7529

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5201012835 (MI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1134879422

Annie Jackson, OTR/L's National Provider Identifier is 1134879422, issued on Mar 28, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 1, 2026.