IndividualActive
Jacquelyn Johnson, COTA
NPI 1124306527 · Occupational Therapy Assistant · Scottsbluff, NE
Provider details
- NPI number
- 1124306527
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 747 (NE)
Mailing address
2018 5th Ave
Scottsbluff, NE 69361-2044
Registry dates
- Enumerated
- 2011-08-02
- Last updated
- 2011-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.