Provider Demographics
NPI:1083471049
Name:HOUCK, ABIGAIL (COTA)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:HOUCK
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 1:253 SHADY BROOK LN
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75602-9589
Mailing Address - Country:US
Mailing Address - Phone:430-342-4246
Mailing Address - Fax:
Practice Address - Street 1:253 SHADY BROOK LN
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75602-9589
Practice Address - Country:US
Practice Address - Phone:430-342-4246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant