Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWENNETTA PATRICE JACKSON, COTA
ActiveGWENNETTA PATRICE JACKSON, COTA is a Occupational Therapy Assistant healthcare provider located in LEXINGTON, South Carolina. NPI 1316419443 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LEXINGTON, SC
Registration Details
- NPI Number
- 1316419443
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 31, 2018 (7.5819606577719 yrs)
- Last Updated
- Dec 31, 2018
- License
-
4800 (SC)
Practice Information
- Address
-
700 DAVEGA DRLEXINGTON, SC, 290739698Browse SC providers · Browse ZIP 29073
- Phone
- 8037968731
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in LEXINGTON, SC
| Name | Credential | NPI |
|---|---|---|
| MS. KAYLA DRAKE | COTA/L | 1760814966 |
| CAITLIN CARDONE | COTA/L | 1710395256 |
| MARTHA LAUREN FLYNN | COTA | 1679094296 |
| CRYSTAL RAE CALDWELL | COTA/L | 1477075638 |
| ALYSSA A SMITH | COTA/L | 1346816980 |
| MS. ANDREA COOK | — | 1356015333 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.