Angela Jackson in Pine Bluff - Occupational Therapy Assistant
Angela Jackson - NPI 1336352632
Angela Jackson is a Occupational Therapy Assistant in Pine Bluff, Arkansas. Angela Jackson practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Angela Jackson is 1336352632. The last update date is 2007-07-09.
Angela Jackson's current location address is 2915 S Hazel St, Pine Bluff, Arkansas. You can contact this provider via phone number 8705350010 and fax number 8705351116. The mailing address for Angela Jackson is 2915 S Hazel St, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Jackson |
|---|---|
| Address | 2915 S Hazel St, Pine Bluff, Arkansas |
| Phone Number | 8705350010 |
| Fax Number | 8705351116 |
| Sole Proprietor | N |
| Credentials | COTA |
NPI Number Detail
| NPI Number | 1336352632 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2915 S Hazel St |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716035008 |
| Phone Number | 8705350010 |
| Fax Number | 8705351116 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | OTA482 |
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Definition: 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 |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Angela Jackson by the Centers for Medicare & Medicaid Services?
The Angela Jackson has been assigned the NPI (National Provider Identifier) 1336352632 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Angela Jackson's physical address?
The Angela Jackson is physically located at 2915 S Hazel St, in the city of Pine Bluff, AR, with the postal code 716035008.
What is Angela Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Angela Jackson is Occupational Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 224Z00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336352632 to Angela Jackson?
The Angela Jackson received its 1336352632 assignment from the Centers for Medicare & Medicaid Services on 2007-05-07.
As of what date were the details related to Angela Jackson most recently updated or revised?
The information pertaining to Angela Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY