Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CHRYSTAL MAE JACKSON, COTA
Active Sole ProprietorMRS. CHRYSTAL MAE JACKSON, COTA is a Occupational Therapy Assistant healthcare provider located in FORT WORTH, Texas. NPI 1841782398 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · FORT WORTH, TX
Registration Details
- NPI Number
- 1841782398
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2018 (8.0202407286917 yrs)
- Last Updated
- May 31, 2018
- License
-
210256 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5417 ALTAMESA BLVDFORT WORTH, TX, 761232804Browse TX providers · Browse ZIP 76123
- Phone
- 8669802475
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| CATHERINE J. PARKER | — | 1760509921 |
| PATRICIA LEE ICE | — | 1902923931 |
| DAWN DENISE EZELLE | COTA | 1457570053 |
| MRS. SUSAN LORAINE GRIMES | COTA | 1639363799 |
| MRS. ANDRIA KRISITIN SPRUIELL | COTA | 1821283839 |
| MRS. KRYSTAL DAWN WILLIAMS | COTA | 1477731941 |
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.