Sandra Lynn Jackson in Massillon - Occupational Therapy Assistant
Sandra Lynn Jackson - NPI 1962529677
Sandra Lynn Jackson is a Occupational Therapy Assistant in Massillon, Ohio. Sandra Lynn Jackson practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Sandra Lynn Jackson is 1962529677. The last update date is 2007-07-08.
Sandra Lynn Jackson's current location address is 435 Avis Ave Nw, Massillon, Ohio. You can contact this provider via phone number 3308371741. The mailing address for Sandra Lynn Jackson is 435 Avis Ave Nw, Massillon, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Lynn Jackson |
|---|---|
| Address | 435 Avis Ave Nw, Massillon, Ohio |
| Phone Number | 3308371741 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | COTA |
NPI Number Detail
| NPI Number | 1962529677 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 435 Avis Ave Nw |
|---|---|
| City | Massillon |
| State | Ohio (OH) |
| Post Code | 446463555 |
| Phone Number | 3308371741 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | OTA706 |
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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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What is the unique 10-digit identifier code issued to Sandra Lynn Jackson by the Centers for Medicare & Medicaid Services?
The Sandra Lynn Jackson has been assigned the NPI (National Provider Identifier) 1962529677 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Sandra Lynn Jackson's physical address?
The Sandra Lynn Jackson is physically located at 435 Avis Ave Nw, in the city of Massillon, OH, with the postal code 446463555.
What is Sandra Lynn Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sandra Lynn Jackson is Occupational Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 224Z00000X.
On what date did Sandra Lynn Jackson receive its 1962529677 assignment from the Centers for Medicare & Medicaid Services?
The Sandra Lynn Jackson was assigned its 1962529677 on 2007-03-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Sandra Lynn Jackson most recently updated or refreshed?
The details pertaining to the Sandra Lynn Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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