IndividualActive
Jenniffer Tacker, COTA
NPI 1972908903 · Occupational Therapy Assistant · Lorena, TX
Provider details
- NPI number
- 1972908903
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 212946 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
768 E Leona Pkwy
Lorena, TX 76655-4207
Phone: (254) 747-0574
Approximate (ZIP-level) locationGet directions
Mailing address
768 E Leona Pkwy
Lorena, TX 76655-4207
Registry dates
- Enumerated
- 2014-11-04
- Last updated
- 2014-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.