Individual
MRS. IDOLL TINA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2650 ELKTON TRL, TYLER, TX 75703-0580
(903) 266-7200
Mailing address
250 W NOTTINGHAM DR STE 200, SAN ANTONIO, TX 78209-1896
(210) 828-5686
(210) 780-6911
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209095
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us