Provider Demographics
NPI:1861716581
Name:PT - OT OF WESTCHASE
Entity type:Organization
Organization Name:PT - OT OF WESTCHASE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OLENDU
Authorized Official - Middle Name:EKPE
Authorized Official - Last Name:OKORAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:713-366-2080
Mailing Address - Street 1:10011 SHIRE GREEN LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2615
Mailing Address - Country:US
Mailing Address - Phone:713-366-2080
Mailing Address - Fax:832-363-1668
Practice Address - Street 1:10011 SHIRE GREEN LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2615
Practice Address - Country:US
Practice Address - Phone:713-366-2080
Practice Address - Fax:832-363-1668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2011-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112577225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty