Organization
DISTINCT ABILITIES CHILDREN'S THERAPY, LLCP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY MAZZOLA COTA (ADMINISTRATOR)
(281) 488-0436
Entity
Organization
Contact information
Practice address
203 BLOSSOM ST, WEBSTER, TX 77598
(281) 488-0436
(281) 488-0102
Mailing address
203 BLOSSOM ST, WEBSTER, TX 77598
(281) 488-0436
(281) 488-0102
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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