NPI 1588267652

Bethany Jackson, COTA

Practitioner Occupational Therapy Assistant Middletown, RI

Practice location

Address: 193 Forest Ave, Middletown, RI 02842-4625
Phone: (401) 847-2777
Mailing address: 77 Lucy Ave, Tiverton, RI 02878-3921

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA00443 (RI)

Other Occupational Therapy Assistant providers in Rhode Island →

Registry record

NPI: 1588267652
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Nov 2020
Record last updated: 19 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.