Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JIMMA LANELLE LAKE, LPTA
Active Sole ProprietorMRS. JIMMA LANELLE LAKE, LPTA is a Occupational Therapist healthcare provider located in WAXAHACHIE, Texas. NPI 1992900336 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WAXAHACHIE, TX
Registration Details
- NPI Number
- 1992900336
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2007 (19.141406056309 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2012555 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 VINTAGE DRWAXAHACHIE, TX, 751656510Browse TX providers · Browse ZIP 75165
- Phone
- 2146329075
- Fax
- 9729230493
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in WAXAHACHIE, TX
| Name | Credential | NPI |
|---|---|---|
| LADONNA LYN FOSTER | PTA | 1447542105 |
| MRS. LAUREN ASHLEY PETREE | PTA | 1578857181 |
| KAYLA JANAE KRUSE | PTA | 1679843908 |
| JOHN GLICK | — | 1275807646 |
| MARY SUMROW | PTA | 1831679745 |
| LUKE MICHAEL SMITH | — | 1215417944 |
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.