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

MS. Carolyn Anece Jackson, OTR/L

Individual provider Occupational Therapist · NPI 1780074294

MS. Carolyn Anece Jackson, OTR/L is an Occupational Therapist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2450 Riverside Ave R102
Minneapolis, MN 55454-1450
Phone: (612) 273-7876
Fax: (612) 273-7101
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 104735 (MN)

Record details

NPI number1780074294
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedFebruary 4, 2015
Last updated in NPPESFebruary 4, 2015

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