Individual provider · Type 1 NPI

Jayne Andrea Hallock, COTA/L

Occupational Therapy Assistant · Clarksville, TN

NPI number 1972067064 Active

Practice location

298 Warfield Blvd Apt C
Clarksville, TN 37043-1896

Call (931) 906-0440 Map

Fax (931) 920-5070

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X3177 (TN)

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 1972067064

Jayne Andrea Hallock, COTA/L's National Provider Identifier is 1972067064, issued on Jan 23, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Clarksville, TN. The record was last updated on Jan 23, 2019.