Provider Demographics
NPI:1053086231
Name:OSAYI, NOSAYABA CYNTHIA (COTA)
Entity Type:Individual
Prefix:MISS
First Name:NOSAYABA
Middle Name:CYNTHIA
Last Name:OSAYI
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 1:19715 LAKE THEO CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-8276
Mailing Address - Country:US
Mailing Address - Phone:281-673-0923
Mailing Address - Fax:
Practice Address - Street 1:19715 LAKE THEO CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-8276
Practice Address - Country:US
Practice Address - Phone:281-673-0923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX216892224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant