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

Individual provider Pediatric Occupational Therapist · NPI 1770065609

Kassandra Sparks Pruitt, COTA is a Pediatric Occupational Therapist in Longview, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

4362 US Highway 259 N Ste D
Longview, TX 75605-7674
Phone: (903) 212-7716
Fax: (903) 663-4833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 209629 (TX)

Record details

NPI number1770065609
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedSeptember 6, 2018
Last updated in NPPESSeptember 6, 2018

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