Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB TERRY BOUDREAUX, COTA
ActiveMR. JACOB TERRY BOUDREAUX, COTA is a Occupational Therapy Assistant healthcare provider located in LUFKIN, Texas. NPI 1750648713 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LUFKIN, TX
Registration Details
- NPI Number
- 1750648713
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2012 (14.362451241031 yrs)
- Last Updated
- Apr 16, 2012
- License
-
211458 (TX)
Practice Information
- Address
-
402 S JOHN REDDITT DRLUFKIN, TX, 759043108Browse TX providers · Browse ZIP 75904
- Phone
- 9366322107
- Fax
- 9366322108
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in LUFKIN, TX
| Name | Credential | NPI |
|---|---|---|
| DINA DOMINQUEZ | — | 1720383284 |
| TIFFANI CREEL | — | 1568752764 |
| CAROL LYNN TOBLEMAN | COTA | 1568963700 |
| JENNIFER LYNN BURSON | — | 1649750779 |
| CLINTIN SPENCER WALLACE | — | 1245712819 |
| TYRA WILLIAMS | — | 1477036119 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.