Provider Demographics
NPI:1003977299
Name:ABRAMCZYK, DANA M (OTR)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:M
Last Name:ABRAMCZYK
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:MICHELLE
Other - Last Name:POLUNSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:5806 CREEKBEND DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5916
Mailing Address - Country:US
Mailing Address - Phone:713-721-3350
Mailing Address - Fax:
Practice Address - Street 1:1635 BLALOCK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-7320
Practice Address - Country:US
Practice Address - Phone:713-827-8830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103223225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist