Latricia Organ, COTA

Individual provider Active NPI Occupational Therapist · Whitehouse, TX

NPI 1699168575 · NPPES record last updated Mar 16, 2015

Key facts

NPI
1699168575
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
212432 (TX)
Practice address
104 N Hearon Dr
Whitehouse, TX 75791-3138
Phone
(903) 808-6868
NPI assigned
Mar 16, 2015
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
212432TXMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 212432 TX Yes

Addresses

Primary practice location

104 N Hearon Dr
Whitehouse, TX 75791-3138

Mailing address

104 N Hearon Dr
Whitehouse, TX 75791-3138
Phone (903) 808-6868

Other providers in Whitehouse, TX

All providers in Whitehouse, TX · Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.