Marilyn Thompson
Individual provider Active NPI Occupational Therapy Assistant · Diboll, TX
NPI 1083115752 · NPPES record last updated Feb 27, 2018
Key facts
- NPI
- 1083115752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 212452 (TX)
- Practice address
- 906 Denman St
Diboll, TX 75941-1521 - Phone
- (936) 572-6734
- NPI assigned
- Feb 27, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 212452 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 212452 | TX | Yes |
Addresses
Primary practice location
906 Denman St
Diboll, TX 75941-1521
Mailing address
906 Denman St
Diboll, TX 75941-1521
Phone (936) 572-6734
Other providers in Diboll, TX
- SLP Diboll LLC
- Kyle Snyder
- Carlos Alberto Solorzano
- Eula Sparks
- Perlita Gicaro Tarongoy
- Katlyn Townsend
- Trinity Mission of Diboll, LLC
- Trinity Nursing and Rehabilitation of Diboll, LP
- Lacy Jae Wade
All providers in Diboll, 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 Feb 27, 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.