Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SUE LYON JACKSON, LOTA
ActiveMRS. SUE LYON JACKSON, LOTA is a Occupational Therapy Assistant healthcare provider located in GLEN ROSE, Texas. NPI 1700367349 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · GLEN ROSE, TX
Registration Details
- NPI Number
- 1700367349
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2018 (7.9843725725603 yrs)
- Last Updated
- Aug 22, 2018
- License
-
204760 (TX)
Practice Information
- Address
-
1019 HOLDEN STGLEN ROSE, TX, 760434937Browse TX providers · Browse ZIP 76043
- Phone
- 2548972215
- Fax
- 2548972091
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in GLEN ROSE, TX
| Name | Credential | NPI |
|---|---|---|
| LANCE DAVID KNOX | COTA | 1114407038 |
| CARLA DENISE CHAMPION | — | 1144700915 |
| REBECCA SEHNERT | — | 1003397498 |
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.