Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candice Elizabeth Jackson, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1720368616

Candice Elizabeth Jackson, COTA/L is an Occupational Therapy Assistant in Carthage, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

216 Union Church Rd
Carthage, NC 28327-7644
Phone: (910) 585-1912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 8007 (NC)

Record details

NPI number1720368616
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedAugust 23, 2011
Last updated in NPPESAugust 23, 2011

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