Individual provider · Type 1 NPI

Casey Nicole Jackson, COTA

Occupational Therapy Assistant · San Antonio, TX

NPI number 1902588684 Active

Practice location

15600 San Pedro Ave Ste 305
San Antonio, TX 78232-3739

Mailing address

208 Woodglenn Dr
Victoria, TX 77904-1132

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X217958 (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 1902588684

Casey Nicole Jackson, COTA's National Provider Identifier is 1902588684, issued on Aug 2, 2023. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in San Antonio, TX. The record was last updated on Aug 2, 2023.