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Lacy Beach, COTA — NPI 1881175305, Devine, TX | NPI Central

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NPI 1881175305

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Lacy Beach, COTA

NPI 1881175305 · Occupational Therapy Assistant · Devine, TX

Provider details

NPI number: 1881175305
Entity type: Individual
Primary specialty: Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: COTA
Sex: Female
Sole proprietor: No
License: 215055 (TX)

Specialties & taxonomies

Occupational Therapy AssistantPrimary224Z00000XLicense 215055 (TX)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Practice location

104 Enterprise Ave

Devine, TX 78016-1807

Phone: (830) 663-4451

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

8843 Staghorn Ml

Converse, TX 78109-3754

Additional practice locations (1)

3030 Roosevelt Ave
San Antonio, TX 78214-2337
Phone: (815) 501-6822

Registry dates

Enumerated: 2018-08-23
Last updated: 2018-08-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.