Individual provider · Type 1 NPI

Jacob Terry Boudreaux, COTA

Occupational Therapy Assistant · Lufkin, TX

NPI number 1750648713 Active

Practice location

402 S John Redditt Dr
Lufkin, TX 75904-3108

Call (936) 632-2107 Map

Fax (936) 632-2108

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X211458 (TX)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1750648713

Jacob Terry Boudreaux, COTA's National Provider Identifier is 1750648713, issued on Apr 16, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lufkin, TX. The record was last updated on Apr 16, 2012.