Individual provider · Type 1 NPI

Sue Lyon Jackson, LOTA

Occupational Therapy Assistant · Glen Rose, TX

NPI number 1700367349 Active

Practice location

1019 Holden St
Glen Rose, TX 76043-4937

Fax (254) 897-2091

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X204760 (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 1700367349

Sue Lyon Jackson, LOTA's National Provider Identifier is 1700367349, issued on Aug 22, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Glen Rose, TX. The record was last updated on Aug 22, 2018.