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

Mrs. Jaclyn Renee Mason, COTAL

Individual provider Occupational Therapy Assistant · NPI 1356998769

Mrs. Jaclyn Renee Mason, COTAL is an Occupational Therapy Assistant in Jefferson, Georgia. Practices as a sole proprietor. Licensed in Georgia and Virginia.

Licensed in
GA, VA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

609 Lake Vista Dr
Jefferson, GA 30549-4606
Phone: (540) 855-8525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA002507 (GA)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 0131000570 (VA)

Record details

NPI number1356998769
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTAL
Sole proprietorYes
NPI enumeratedAugust 20, 2019
Last updated in NPPESAugust 20, 2019