Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deserae D Douglas, COTA/L, PAMS

Individual provider Occupational Therapy Assistant · NPI 1093558751

Deserae D Douglas, COTA/L, PAMS is an Occupational Therapy Assistant in Lexington, Tennessee. Licensed in Tennessee. Registered with an NPI since 2024.

Licensed in
TN
In the registry since
2024
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

727 E Church St
Lexington, TN 38351-1924
Phone: (731) 968-2004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2238 (TN)

Record details

NPI number1093558751
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L , PAMS
Sole proprietorNo
NPI enumeratedJune 18, 2024
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

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