IndividualActive
Angela Jackson, COTA
NPI 1336352632 · Occupational Therapy Assistant · Pine Bluff, AR
Provider details
- NPI number
- 1336352632
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- OTA482 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2915 S Hazel St
Pine Bluff, AR 71603-5008
Phone: (870) 535-0010
Fax: (870) 535-1116
Approximate (ZIP-level) locationGet directions
Mailing address
707 Eldridge Ave E
Wynne, AR 72396-4032
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.