Angela Cavender, COTA
Individual provider Active NPI Occupational Therapy Assistant · Azle, TX
NPI 1679055263 · NPPES record last updated Aug 30, 2018
Key facts
- NPI
- 1679055263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 213032 (TX)
- Practice address
- 721 Dunaway LN
Azle, TX 76020-2605 - Phone
- (321) 626-9610
- NPI assigned
- Aug 30, 2018
- 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 |
|---|---|---|---|
| 213032 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 213032 | TX | Yes |
Addresses
Primary practice location
721 Dunaway LN
Azle, TX 76020-2605
Mailing address
2105 Remington St Apt 15C
Fort Worth, TX 76116-2163
Phone (321) 626-9610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213032 | Other | TX | COTA |
Other providers in Azle, TX
- Angie Sue Burdzilauskas
- Corrie L Bush
- Virginia Butschek
- Gina Caleap
- Lauren Kathleen Calloway
- Certified Dementia Specialist, LLC
- Roney Chaluparambil Marcos
- William Melvin Chambers Jr.
- Cynthia Dianne Chamness
- So Yeon Chung
All providers in Azle, TX · Occupational Therapy Assistant 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 30, 2018. 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.