NPI 1033414008

Deneicia L Gasaway, COTA

Practitioner Occupational Therapy Assistant Tyler, TX

Practice location

Address: 3505 Old Jacksonville Rd, Tyler, TX 75701-8510
Phone: (903) 561-7835
Mailing address: 314 Lincoln Street, Trinidad, TX 75163

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 210613 (TX)

Other Occupational Therapy Assistant providers in Texas →

Registry record

NPI: 1033414008
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jan 2011
Record last updated: 21 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.