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

Individual provider Pediatric Occupational Therapist · NPI 1629667589

Jeannine Jackson, COTA/L is a Pediatric Occupational Therapist in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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

6715 E 41st St
Tulsa, OK 74145-4520
Phone: (918) 806-0106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X

Record details

NPI number1629667589
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedJanuary 14, 2021
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021

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