Individual provider · Type 1 NPI

Jaime Delynn Revilla

Occupational Therapist · Fort Worth, TX

NPI number 1780940866 Active

Practice location

5316 Trail Lake Dr
Fort Worth, TX 76133-1931

Fax (817) 789-6849

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X110919 (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 1780940866

Jaime Delynn Revilla's National Provider Identifier is 1780940866, issued on Apr 3, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 3, 2012.