NPI 1588369383

Jessica Lynn Jackson, COTA

Practitioner Occupational Therapy Assistant Ponca City, OK

Practice location

Address: 400 E Central Ave, Ponca City, OK 74601-5429
Phone: (580) 304-9767
Mailing address: 2509 Bluestem Rd, Ponca City, OK 74604-3246

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 1470 (OK)

Other Occupational Therapy Assistant providers in Oklahoma →

Registry record

NPI: 1588369383
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2023
Record last updated: 3 Apr 2023

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.