Individual provider · Type 1 NPI

Angela Jackson, COTA

Occupational Therapy Assistant · Pine Bluff, AR

NPI number 1336352632 Active

Practice location

2915 S Hazel St
Pine Bluff, AR 71603-5008

Call (870) 535-0010 Map

Fax (870) 535-1116

Mailing address

707 Eldridge Ave E
Wynne, AR 72396-4032

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA482 (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 1336352632

Angela Jackson, COTA's National Provider Identifier is 1336352632, issued on May 7, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Pine Bluff, AR. The record was last updated on Jul 9, 2007.