IndividualActive
Destiny Walesiak, COTA
NPI 1760865802 · Occupational Therapy Assistant · Borger, TX
Provider details
- NPI number
- 1760865802
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 212171 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
600 W 3rd St
Borger, TX 79007-4008
Phone: (806) 274-9856
Approximate (ZIP-level) locationGet directions
Mailing address
314 Coronado St
Fritch, TX 79036-8162
Registry dates
- Enumerated
- 2015-07-07
- Last updated
- 2015-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.