Individual
ELENA OMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
15715 KNAUFF RANCH CT, CYPRESS, TX 77429-6129
(713) 992-9378
Mailing address
15715 KNAUFF RANCH CT, CYPRESS, TX 77429-6129
(713) 992-9378
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214738
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23369843
TEXAS DRIVER LICENSE
TX
Enumeration date
12/05/2019
Last updated
12/05/2019
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