Alicia C. Lacambra, OTR
Individual provider Active NPI Occupational Therapist · Willis, TX
NPI 1275765299 · NPPES record last updated Aug 10, 2009
Key facts
- NPI
- 1275765299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 103495 (TX)
- Practice address
- 3000 N Danville St
Willis, TX 77378-3490 - Phone
- (936) 856-4312
- Fax
- (936) 856-4364
- NPI assigned
- Aug 10, 2009
- 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 |
|---|---|---|---|
| 103495 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 103495 | TX | Yes |
Addresses
Primary practice location
3000 N Danville St
Willis, TX 77378-3490
Mailing address
3000 N Danville St
Willis, TX 77378-3490
Phone (936) 856-4312
Other providers in Willis, TX
- Kingwood Physical Therapy LTD
- Kelly Kocian
- Kroger Texas L P
- Rhonda Louk Kuehn
- Pamela A. Kyler
- Erika Le
- Tiffany Lee
- Dustin Ray Lenorman
- Living Breath Clinic LLC
- Lone Star Community Health Center, Inc.
All providers in Willis, TX · Occupational Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2009. 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.