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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 (7.7664657698904 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.