Individual provider · Type 1 NPI

Jordan Victoria Smith, COTA

Occupational Therapy Assistant · Jacksonville, TX

NPI number 1992286710 Active

Practice location

810 Bellaire St
Jacksonville, TX 75766-9045

Mailing address

16734 County Road 192
Tyler, TX 75703-7252

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X215270 (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 1992286710

Jordan Victoria Smith, COTA's National Provider Identifier is 1992286710, issued on Aug 29, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Jacksonville, TX. The record was last updated on Aug 29, 2018.