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

Individual provider Occupational Therapy Assistant · NPI 1508485160

Jessica Lazos, COTA/L is an Occupational Therapy Assistant in Clarksville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2020
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

215 Dunbar Cave Rd Ste A
Clarksville, TN 37043-8850
Phone: (931) 542-2739
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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 3054 (TN)

Record details

NPI number1508485160
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedApril 14, 2020
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020

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