Michelle Lee Gascot, OTA

Individual provider Active NPI Occupational Therapy Assistant · Garland, TX

NPI 1003396987 · NPPES record last updated Aug 20, 2018

Key facts

NPI
1003396987
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
212254 (TX)
Practice address
106 Belt Line Rd
Garland, TX 75040-4104
Phone
(972) 495-7700
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
212254TXMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 212254 TX Yes

Addresses

Primary practice location

106 Belt Line Rd
Garland, TX 75040-4104

Mailing address

2600 Harris Dr
Garland, TX 75041-2904
Phone (214) 893-4633

Other providers in Garland, TX

All providers in Garland, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.