Morgan Nicole Peden Judice, COTA
Individual provider Active NPI Occupational Therapy Assistant · Kountze, TX
NPI 1013484732 · NPPES record last updated Oct 31, 2018
Key facts
- NPI
- 1013484732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 214851
- Practice address
- 604 FM 1293 Rd
Kountze, TX 77625-7804 - Phone
- (409) 658-0961
- NPI assigned
- Oct 31, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 214851 | Yes |
Addresses
Primary practice location
604 FM 1293 Rd
Kountze, TX 77625-7804
Mailing address
1390 Kalas Cir
Lumberton, TX 77657-1172
Phone (409) 658-0961
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214851 | Other | TX | TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS |
Other providers in Kountze, TX
- Hardin County Health Department
- Hardin County Wic
- Patsy Marie Horsley
- Jana M Winberg Mdpa
- Jana M Winberg Mdpa
- Kountze Dentistry PLLC
- Kountze Pharmacy LLC
- Christina Matouk
- Medical Clinic of Hardin County
- Medical Clinic of Hardin County LLC
All providers in Kountze, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.