Organization
MIGHTY OAKS THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY ELAINE COOK OTR (OTR)
(832) 792-9399
Entity
Organization
Contact information
Practice address
18100 WEST RD APT 1216, HOUSTON, TX 77095-3785
(512) 669-1503
Mailing address
11403 BARKER CYPRESS RD, STE J, #105, CYPRESS, TX 77433
(512) 669-1503
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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