Provider Demographics
NPI:1679465058
Name:KEENER, OASIS UTOPIA (COTA)
Entity type:Individual
Prefix:
First Name:OASIS
Middle Name:UTOPIA
Last Name:KEENER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9622 BRENTHAVEN SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-8418
Mailing Address - Country:US
Mailing Address - Phone:903-390-4629
Mailing Address - Fax:
Practice Address - Street 1:9622 BRENTHAVEN SPRINGS LN
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-8418
Practice Address - Country:US
Practice Address - Phone:903-390-4629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX536163224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant