Individual
SUSANA SIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14515 OLD TYBEE RD, HOUSTON, TX 77084-7158
(501) 472-4589
Mailing address
14515 OLD TYBEE RD, HOUSTON, TX 77084-7158
(501) 472-4589
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
443345
TX
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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