Individual provider · Type 1 NPI

Candace Doralee Jackson, COTA/L

Occupational Therapy Assistant · Ashdown, AR

NPI number 1962863381 Active

Practice location

1470 Rankin St
Ashdown, AR 71822-3806

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOT-A 1072 (AR)
Occupational Therapy Assistant 224Z00000X213751 (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 1962863381

Candace Doralee Jackson, COTA/L's National Provider Identifier is 1962863381, issued on Mar 11, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Ashdown, AR. The record was last updated on Mar 11, 2016.