Laura Lynn Beach, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Caldwell, TX
NPI 1942591003 · NPPES record last updated Apr 25, 2011
Key facts
- NPI
- 1942591003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 211157 (TX)
- Practice address
- 1022 State Highway 21 E
Caldwell, TX 77836-4611 - Phone
- (979) 567-8408
- NPI assigned
- Apr 25, 2011
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2010026802 | MO | MD | Occupational Therapy Assistant |
| 211157 | TX | MD | Occupational Therapy Assistant |
| 4730-027 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 211157 | TX | Yes |
| Occupational Therapy Assistant | 224Z00000X | 4730-027 | WI | |
| Occupational Therapy Assistant | 224Z00000X | 2010026802 | MO |
Addresses
Primary practice location
1022 State Highway 21 E
Caldwell, TX 77836-4611
Mailing address
1022 State Highway 21 E
Caldwell, TX 77836-4611
Phone (979) 567-8408
Other providers in Caldwell, TX
- Heather Anne Ahrendt
- April Meredith Schank Arnold
- Aya Pharmacy LLC
- Tracy Ayers
- Tiffany Baker
- Kimberly Dawn Belcik
- Jamie Bird
- Sandra Blasig
- Jaa'Lah B Bowser
- Brazos Valley Community Action Agency, Inc.
All providers in Caldwell, 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 Apr 25, 2011. 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.