Individual provider · Type 1 NPI

Nicole Dexter Jackson, OTA

Occupational Therapy Assistant · Claremore, OK

NPI number 1790155042 Active

Practice location

3001 W Blue Starr Dr
Claremore, OK 74017-2544

Mailing address

14930 E 97th St N
Owasso, OK 74055-4814

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X614 (OK)

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 1790155042

Nicole Dexter Jackson, OTA's National Provider Identifier is 1790155042, issued on Sep 29, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Claremore, OK. The record was last updated on Oct 1, 2015.