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

Individual provider Occupational Therapy Assistant · NPI 1841782398

Mrs. Chrystal Mae Jackson, COTA is an Occupational Therapy Assistant in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018
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

5417 Altamesa Blvd
Fort Worth, TX 76123-2804
Phone: (866) 980-2475
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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 210256 (TX)

Record details

NPI number1841782398
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedMay 31, 2018
Last updated in NPPESMay 31, 2018

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