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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CHANTE OLIVIA JACKSON, C.O.T.A.L

Active Sole Proprietor

MRS. CHANTE OLIVIA JACKSON, C.O.T.A.L is a Occupational Therapy Assistant healthcare provider located in SOUTHFIELD, Michigan. NPI 1497523641 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · SOUTHFIELD, MI

Registration Details

NPI Number
1497523641
Provider Type
Individual
Gender
Female
NPI Issued
Dec 18, 2023 (2.6562986585283 yrs)
Last Updated
Dec 18, 2023
Licenses
5202006981 (MI)
5202006981 (MI)
Sole Proprietor
Yes

Practice Information

Address
16112 MOUNT VERNON ST
SOUTHFIELD, MI, 480753188
Browse MI providers · Browse ZIP 48075
Phone
3136178398
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in SOUTHFIELD, MI

Name Credential NPI
MRS. KATHERINE KIMBERLY BELL- BRAZIEL C.O.T.A. 1326180340
MS. CIARA POWELL COTA 1962953992
MAHMOUD BJEIJEH COTA 1386160927
GRACE NJI 1811496029
JASMINE MOYER 1952803736
ALEXANDRA K WHITCOMB 1801350210
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.