Latisha Stovall
Latisha Stovall is an Occupational Therapist in Private Practice in Bushland, Texas. Qualified in 2005, 21 years ago. Practices with Century Rehabilitation of Texas LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 21
- Licensed in
- TX
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
411 N Graystone LnBushland, TX 79124-1539
Phone: (806) 787-8610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 111527 (TX) |
|---|---|
| Physical Rehabilitation Occupational Therapist | Taxonomy 225XP0019X |
Record details
| NPI number | 1518556851 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 12, 2021 |
| Last updated in NPPES | January 21, 2021 |
| Certification date | January 21, 2021 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Century Rehabilitation Of Texas Llc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |