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

Mr. Jacob Terry Boudreaux, COTA

Individual provider Occupational Therapy Assistant · NPI 1750648713

Mr. Jacob Terry Boudreaux, COTA is an Occupational Therapy Assistant in Lufkin, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
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

402 S John Redditt Dr
Lufkin, TX 75904-3108
Phone: (936) 632-2107
Fax: (936) 632-2108
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 211458 (TX)

Record details

NPI number1750648713
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedApril 16, 2012
Last updated in NPPESApril 16, 2012

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