Individual provider · Type 1 NPI

Idoll Tina Jackson, COTA

Occupational Therapy Assistant · Tyler, TX

NPI number 1427530641 Active

Practice location

2650 Elkton Trl
Tyler, TX 75703-0580

Call (903) 266-7200 Map

Mailing address

250 W Nottingham Dr Ste 200
San Antonio, TX 78209-1896

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X209095 (TX)

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 1427530641

Idoll Tina Jackson, COTA's National Provider Identifier is 1427530641, issued on Sep 4, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Tyler, TX. The record was last updated on Sep 4, 2018.