Kara Faith McMullen, COTA

Individual provider Active NPI Occupational Therapy Assistant · De Berry, TX

NPI 1558079079 · NPPES record last updated Nov 14, 2022

Key facts

NPI
1558079079
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
216971 (TX)
Practice address
213 Private Road 7082
De Berry, TX 75639-3011
Phone
(903) 930-1960
NPI assigned
Nov 14, 2022
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
216971TXMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 216971 TX Yes

Addresses

Primary practice location

213 Private Road 7082
De Berry, TX 75639-3011

Mailing address

213 Private Road 7082
De Berry, TX 75639-3011
Phone (903) 930-1960

Other names

  • Kara Faith Adams Former name

Other providers in De Berry, TX

All providers in De Berry, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.