Individual provider · Type 1 NPI

Kelly A. Jackson, OTR/L

Occupational Therapist · Staten Island, NY

NPI number 1477896876 Active

Practice location

178 Manila Ave
Staten Island, NY 10306-5608

Call (718) 667-4703 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X017963 (NY)

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 1477896876

Kelly A. Jackson, OTR/L's National Provider Identifier is 1477896876, issued on Apr 3, 2013. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Staten Island, NY. The record was last updated on Apr 3, 2013.