Individual
TIFFANY OKONKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12777 BEECHNUT ST, HOUSTON, TX 77072-3820
(281) 879-8040
Mailing address
5755 ALMEDA RD UNIT 311, HOUSTON, TX 77004-8110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215205
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215205
COTA
TX
Enumeration date
07/28/2021
Last updated
07/28/2021
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