Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS TYWANNA LASHEA JACKSON, COTA
ActiveMISS TYWANNA LASHEA JACKSON, COTA is a Occupational Therapy Assistant healthcare provider located in FORT WAYNE, Indiana. NPI 1376662015 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · FORT WAYNE, IN
Registration Details
- NPI Number
- 1376662015
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 27, 2007 (19.237148340468 yrs)
- Last Updated
- Jul 8, 2007
- License
-
32001156A (IN)
Practice Information
- Address
-
2237 ENGLE RDFORT WAYNE, IN, 468091404Browse IN providers · Browse ZIP 46809
- Phone
- 2607472353
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| NANCY SHEPLER | COTA | 1699819664 |
| CHASSIDY JOHNSON | COTA | 1780728485 |
| MISS NATASHA REBECCA KEVER | C.O.T.A. | 1649499575 |
| TIFFANY C MCGOWN | COTA | 1487874806 |
| MS. JILL MARIE DELZEITH | COTA | 1134335193 |
| MRS. MICHELLE LEA MYERS | COTA | 1740487891 |
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.