Individual provider · Type 1 NPI

Nacole Marie Jackson, COTA

Occupational Therapy Assistant · Chesterton, IN

NPI number 1851459770 Active

Practice location

1120 S Calumet Rd, Suite 3
Chesterton, IN 46304-3285

Call (219) 983-9675 Map

Mailing address

418 Planett St
La Porte, IN 46350-2682

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32001281A (IN)

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 1851459770

Nacole Marie Jackson, COTA's National Provider Identifier is 1851459770, issued on Dec 4, 2006. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Chesterton, IN. The record was last updated on Jul 8, 2007.