Individual provider · Type 1 NPI

Deborah Jackson, COTA/L

Occupational Therapy Assistant · Lawrenceville, GA

NPI number 1780080929 Active

Practice location

280 Pine Forest Dr
Lawrenceville, GA 30046-6032

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X001558 (GA)

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 1780080929

Deborah Jackson, COTA/L's National Provider Identifier is 1780080929, issued on Nov 17, 2014. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Nov 17, 2014.