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

Individual provider Occupational Therapy Assistant · NPI 1376662015

Miss. Tywanna Lashea Jackson, COTA is an Occupational Therapy Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

2237 Engle Rd
Fort Wayne, IN 46809-1404
Phone: (260) 747-2353
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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 32001156A (IN)

Record details

NPI number1376662015
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESJuly 8, 2007

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