Individual provider · Type 1 NPI
Chante Olivia Jackson, C.O.T.A.L
Occupational Therapy Assistant · Southfield, MI
Practice location
16112 Mount Vernon St
Southfield, MI 48075-3188
Mailing address
25330 W 6 Mile Rd
Redford, MI 48240-2105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | 5202006981 (MI) |
| Occupational Therapy Assistant Primary | 224Z00000X | 5202006981 (MI) |
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 1497523641
Chante Olivia Jackson, C.O.T.A.L's National Provider Identifier is 1497523641, issued on Dec 18, 2023. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Southfield, MI. The record was last updated on Dec 18, 2023.