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Search › Indiana › Occupational Therapy Assistant

Tywanna Jackson, COTA

NPI 1376662015 · on the registry since 2007

Practice

Address
2237 Engle Rd
Fort Wayne, IN 46809
Phone
(260) 747-2353
Organisation at this address
Riverview Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana