Lorrie Ann Neal, COTA

Individual provider Active NPI Occupational Therapy Assistant · Tatum, TX

NPI 1306455290 · NPPES record last updated Jul 27, 2020

Key facts

NPI
1306455290
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
216311 (TX)
Practice address
285 Mullins St
Tatum, TX 75691-9512
Phone
(903) 470-0997
NPI assigned
Jul 27, 2020
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

LicenseStateTypeSpecialty
216311TXMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 216311 TX Yes

Addresses

Primary practice location

285 Mullins St
Tatum, TX 75691-9512

Mailing address

285 Mullins St
Tatum, TX 75691-9512
Phone (903) 470-0997

Other providers in Tatum, TX

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

Sources for this page

Verify at the official NPI Registry.