Individual provider · Type 1 NPI

Kellene Shey Jackson, COTA

Occupational Therapy Assistant · Maitland, FL

NPI number 1770616138 Active

Practice location

1301 W Maitland Blvd
Maitland, FL 32751-4338

Call (407) 645-0034 Map

Mailing address

315 Howard Blvd
Longwood, FL 32750-4616

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X9463 (FL)

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 1770616138

Kellene Shey Jackson, COTA's National Provider Identifier is 1770616138, issued on Mar 14, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Maitland, FL. The record was last updated on Jan 10, 2010.