Individual provider · Type 1 NPI

Carmen Lysaker

Occupational Therapist · Fort Sam Houston, TX

NPI number 1073403820 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Call (210) 916-7500 Map

Mailing address

22800 Bulverde Rd Apt 502
San Antonio, TX 78261-3038

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X124077 (TX)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1073403820

Carmen Lysaker's National Provider Identifier is 1073403820, issued on Jul 3, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jul 3, 2025.