Jason L Little, COTA

Individual provider Active NPI Occupational Therapy Assistant · Mexia, TX

NPI 1245356302 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1245356302
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
206229 (TX)
Practice address
719 Crestline Dr
Mexia, TX 76667-2046
Phone
(903) 388-7588
NPI assigned
Mar 21, 2007
Sex
Male
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
206229TXMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 206229 TX Yes

Addresses

Primary practice location

719 Crestline Dr
Mexia, TX 76667-2046

Mailing address

719 Crestline Dr
Mexia, TX 76667-2046

Other providers in Mexia, TX

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

Sources for this page

Verify at the official NPI Registry.