Laquita L Ross, COTA

Individual provider Active NPI Occupational Therapy Assistant · Chandler, TX

NPI 1437865839 · NPPES record last updated Jan 30, 2023

Key facts

NPI
1437865839
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
217693 (TX)
Practice address
18869 FM 317
Chandler, TX 75758-7573
Phone
(903) 216-7411
NPI assigned
Jan 30, 2023
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

LicenseStateTypeSpecialty
217693TXMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 217693 TX Yes

Addresses

Primary practice location

18869 FM 317
Chandler, TX 75758-7573

Mailing address

18869 FM 317
Chandler, TX 75758-7573
Phone (903) 216-7411

Other providers in Chandler, TX

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

Sources for this page

Verify at the official NPI Registry.