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

Mrs. Sue Lyon Jackson, LOTA

Individual provider Occupational Therapy Assistant · NPI 1700367349

Mrs. Sue Lyon Jackson, LOTA is an Occupational Therapy Assistant in Glen Rose, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018

Practice location Address checks out

1019 Holden St
Glen Rose, TX 76043-4937
Phone: (254) 897-2215
Fax: (254) 897-2091
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 204760 (TX)

Record details

NPI number1700367349
Entity typeIndividual (Type 1)
GenderFemale
Credentials LOTA
Sole proprietorNo
NPI enumeratedAugust 22, 2018
Last updated in NPPESAugust 22, 2018

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