Provider Demographics
NPI:1255908935
Name:LAMPLEY, REGINALD J JR (OTA)
Entity type:Individual
Prefix:MR
First Name:REGINALD
Middle Name:J
Last Name:LAMPLEY
Suffix:JR
Gender:M
Credentials:OTA
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Mailing Address - Street 1:8787 WOODWAY DR APT 5208
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2445
Mailing Address - Country:US
Mailing Address - Phone:281-832-6366
Mailing Address - Fax:
Practice Address - Street 1:8787 WOODWAY DR APT 5208
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2445
Practice Address - Country:US
Practice Address - Phone:281-832-6366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX453370224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant