Veronica R. Estrada, COTA
Individual provider Active NPI Occupational Therapy Assistant · Skidmore, TX
NPI 1205225786 · NPPES record last updated Jan 21, 2015
Key facts
- NPI
- 1205225786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 209736 (TX)
- Practice address
- 905 N 1St St
Skidmore, TX 78389-3826 - Phone
- (361) 813-3316
- NPI assigned
- Jan 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 209736 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 209736 | TX | Yes |
Addresses
Primary practice location
905 N 1St St
Skidmore, TX 78389-3826
Mailing address
905 N 1St St
Skidmore, TX 78389-3826
Phone (361) 813-3316
Other providers in Skidmore, TX
All providers in Skidmore, 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 Jan 21, 2015. 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.