Individual provider · Type 1 NPI

Chrystal Mae Jackson, COTA

Occupational Therapy Assistant · Fort Worth, TX

NPI number 1841782398 Active

Practice location

5417 Altamesa Blvd
Fort Worth, TX 76123-2804

Call (866) 980-2475 Map

Mailing address

640 Bent Oak Dr
Fort Worth, TX 76131-4230

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X210256 (TX)

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 1841782398

Chrystal Mae Jackson, COTA's National Provider Identifier is 1841782398, issued on May 31, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fort Worth, TX. The record was last updated on May 31, 2018.