Individual
MR. JEREMY SYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
11830 NORTHPOINTE BLVD, TOMBALL, TX 77377-5536
(281) 205-9400
Mailing address
11923 POCATELLO DR, TOMBALL, TX 77377-3997
(832) 286-2703
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212958
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212958
LICENSE TO PRACTICE
TX
Enumeration date
01/28/2019
Last updated
01/28/2019
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