Individual provider · Type 1 NPI

Lyddia Revell, DSC

Occupational Therapist · Jbsa Fort Sam Houston, TX

NPI number 1275982092 Active

Practice location

3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234

Mailing address

419 Belmont Unit 1
San Antonio, TX 78202-3135

Other practice locations

  • 1407 Saint Andrew St, Ste 100, La Crosse, WI 54603-3301 · (715) 743-5410

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5857-26 (WI)

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 1275982092

Lyddia Revell, DSC's National Provider Identifier is 1275982092, issued on Jun 13, 2016. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Jbsa Fort Sam Houston, TX. The record was last updated on May 1, 2023.