Jackson, Tywanna Lashea

Jackson, Tywanna Lashea is an individual health care provider with primary practice located at 2237 Engle Rd , Fort Wayne IN 46809-1404. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Jackson, Tywanna Lashea can be contacted via phone (260) 747-2353.

Contact Information

Primary practice address
2237 Engle Rd Fort Wayne IN 46809-1404
Phone: (260) 747-2353
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 32001156A Indiana

Profile Details

NPI number 1376662015
LBN Legal business name Jackson, Tywanna Lashea
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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