Individual provider · Type 1 NPI
Delores Jean Jackson, COTA
Occupational Therapy Assistant · Chicago Ridge, IL
Practice location
10300 Southwest Highway
Chicago Ridge, IL 60415
Fax (708) 425-0209
Mailing address
15244 Grant St
Dolton, IL 60419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 057000853 (IL) |
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 1780958603
Delores Jean Jackson, COTA's National Provider Identifier is 1780958603, issued on Feb 24, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Chicago Ridge, IL. The record was last updated on Feb 24, 2012.