IndividualActive
Deidre Fergason, OTR
NPI 1215419353 · Environmental Modification Occupational Therapy Assistant · Tyler, TX
Provider details
- NPI number
- 1215419353
- Entity type
- Individual
- Primary specialty
- Environmental Modification Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- License
- 103800 (TX)
Mailing address
3505 Old Jacksonville Hwy
Tyler, TX 75703
Registry dates
- Enumerated
- 2018-09-05
- Last updated
- 2018-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.