Jessica Garza, COTA
Individual provider Active NPI Occupational Therapy Assistant · Eustace, TX
NPI 1962025841 · NPPES record last updated May 26, 2020
Key facts
- NPI
- 1962025841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 214319 (TX)
- Practice address
- 219 Lakeview Cir
Eustace, TX 75124-9749 - Phone
- (903) 286-4728
- NPI assigned
- May 26, 2020
- 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 |
|---|---|---|---|
| 214319 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 214319 | TX | Yes |
Addresses
Primary practice location
219 Lakeview Cir
Eustace, TX 75124-9749
Mailing address
219 Lakeview Cir
Eustace, TX 75124-9749
Phone (903) 286-4728
Other providers in Eustace, TX
- Samuel Austin
- Care Big, LLC
- Eustace I.S.D.
- Extramile Therapy, LLC
- Caitlin Marie Nixon
- Lawanda Ruth Robertson
- Sonya R. Smith
- Solutions Financial Management Services, LLC
- Jeremy Scott Stevens
All providers in Eustace, 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 May 26, 2020. 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.