Susan Nichole Carp, COTA
Occupational Therapy Assistant in Pearland, TX. Individual provider (NPI-1).
NPI number1265119333
StatusActive
Last updated in NPPESJun 30, 2023
Details
- NPI
- 1265119333
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Susan Nichole Carp
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2023
- Certification date
- Jun 30, 2023
- Last updated
- Jun 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 217898 | TX | Yes |
Practice location
2011 Broadway St Ste 130Pearland, TX 77581-5945
Phone 281-997-8509
Mailing address
2112 Ripple Bend LnPearland, TX 77581-6473
Phone 281-451-0690
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