IndividualActive
Jason Cobb, OTA
NPI 1952251597 · Occupational Therapy Assistant · Fort Polk, LA
Provider details
- NPI number
- 1952251597
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6215 Haag St Apt a
Fort Polk, LA 71459-7411
Phone: (726) 780-2592
Approximate (ZIP-level) locationGet directions
Mailing address
6215 Haag St Apt a
Fort Polk, LA 71459-7411
Registry dates
- Enumerated
- 2026-02-02
- Last updated
- 2026-02-02
- Certified
- 2026-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.