Kelsea Alaine Chapman, COTA

Individual provider Active NPI Occupational Therapy Assistant · Winnsboro, TX

NPI 1992387567 · NPPES record last updated Apr 23, 2021

Key facts

NPI
1992387567
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
213704 (TX)
Practice address
100 E Elm St
Winnsboro, TX 75494-2510
Phone
(903) 646-0108
NPI assigned
Apr 23, 2021
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
213704TXMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 213704 TX Yes

Addresses

Primary practice location

100 E Elm St
Winnsboro, TX 75494-2510

Mailing address

9887 County Road 3129D
Long Branch, TX 75669-8806
Phone (903) 646-0108

Other providers in Winnsboro, TX

All providers in Winnsboro, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.