Provider Demographics
NPI:1487246302
Name:SHAKOOR, AKEEMAH ADORE (COTA)
Entity type:Individual
Prefix:
First Name:AKEEMAH
Middle Name:ADORE
Last Name:SHAKOOR
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:AKEEMAH
Other - Middle Name:ADORE
Other - Last Name:SHAKOOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA
Mailing Address - Street 1:1600 SPRINGWOODS PLAZA DR APT 236
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-1820
Mailing Address - Country:US
Mailing Address - Phone:832-946-5701
Mailing Address - Fax:
Practice Address - Street 1:1600 SPRINGWOODS PLAZA DR APT 236
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-1820
Practice Address - Country:US
Practice Address - Phone:832-946-5701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX216389224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant