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

Dr. Lyddia Revell, DSC

Individual provider Occupational Therapist · NPI 1275982092

Dr. Lyddia Revell, DSC is an Occupational Therapist in Jbsa Ft Sam Houston, Texas. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2016

Practice location Address checks out

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234
Phone: (262) 501-9788
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1407 Saint Andrew St, La Crosse, WI 54603-3301 — (715) 743-5410

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5857-26 (WI)

Record details

NPI number1275982092
Entity typeIndividual (Type 1)
GenderFemale
Credentials DSC
Sole proprietorNo
NPI enumeratedJune 13, 2016
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

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