Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE DEXTER JACKSON, OTA
Active Sole ProprietorNICOLE DEXTER JACKSON, OTA is a Occupational Therapy Assistant healthcare provider located in CLAREMORE, Oklahoma. NPI 1790155042 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · CLAREMORE, OK
Registration Details
- NPI Number
- 1790155042
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 29, 2015 (10.833535414363 yrs)
- Last Updated
- Oct 1, 2015
- License
-
614 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3001 W BLUE STARR DRCLAREMORE, OK, 740172544Browse OK providers · Browse ZIP 74017
- Phone
- 9183425432
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in CLAREMORE, OK
| Name | Credential | NPI |
|---|---|---|
| TAMERA WHEETLEY | COTA/L | 1376805259 |
| MR. TIMOTHY DOUGLAS MILLER | COTA/L | 1780922658 |
| CLAUDIA WILLIAMS | — | 1336582956 |
| MRS. TRACY LAEGER | — | 1790128304 |
| CHARLES JUDY | COTA/L | 1396147955 |
| JANAYE NICOLE RUE | COTA/L | 1154982288 |
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.