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

MISS SHAWN RENE'E JACKSON, COTA/L

Active

MISS SHAWN RENE'E JACKSON, COTA/L is a Occupational Therapy Assistant healthcare provider located in DECATUR, Texas. NPI 1578027736 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · DECATUR, TX

Registration Details

NPI Number
1578027736
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2019 (7.5926271626168 yrs)
Last Updated
Jan 22, 2019
License
211828 (TX)

Practice Information

Address
201 E THOMPSON ST
DECATUR, TX, 762342736
Browse TX providers · Browse ZIP 76234
Phone
9406574500
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in DECATUR, TX

Name Credential NPI
MARK ANTHONY BAJKOWSKY COTA 1992277271
TRISSA BEREND 1518565712
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.