Individual provider · Type 1 NPI

Carolyn Anece Jackson, OTR/L

Occupational Therapist · Minneapolis, MN

NPI number 1780074294 Active

Practice location

2450 Riverside Ave, R102
Minneapolis, MN 55454-1450

Call (612) 273-7876 Map

Fax (612) 273-7101

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X104735 (MN)

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 1780074294

Carolyn Anece Jackson, OTR/L's National Provider Identifier is 1780074294, issued on Feb 4, 2015. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 4, 2015.