Deborah Dubose
Individual provider Active NPI Occupational Therapy Assistant · Jacksonville, TX
NPI 1992284251 · NPPES record last updated Aug 8, 2018
Key facts
- NPI
- 1992284251
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 210330 (TX)
- Practice address
- 421 S Bonner St
Jacksonville, TX 75766-2330 - Phone
- (903) 586-9871
- NPI assigned
- Aug 8, 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 |
|---|---|---|---|
| 210330 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 210330 | TX | Yes |
Addresses
Primary practice location
421 S Bonner St
Jacksonville, TX 75766-2330
Mailing address
1026 FM 3343
Joaquin, TX 75954-3370
Phone (936) 269-9431
Other providers in Jacksonville, TX
- Timothy B Different
- Tiffany Ann Dodson
- Dogwood Orthopaedic Clinic, PA
- Jasmine Dominique Douglas
- Jacqueline Catney Dubois
- Roxanne D. Dudley
- Callie Elizabeth Dunkerson
- Mikayle Anne Durant
- Ryan Earle
- East Texas Eye Care Associates PLLC
All providers in Jacksonville, 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 8, 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.