Provider Demographics
NPI:1154815694
Name:FLOURNOY, VAL-MONIQUE (COTA)
Entity Type:Individual
Prefix:
First Name:VAL-MONIQUE
Middle Name:
Last Name:FLOURNOY
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 1:2115 RUNNELS ST APT 2207
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77003-1080
Mailing Address - Country:US
Mailing Address - Phone:281-408-9051
Mailing Address - Fax:
Practice Address - Street 1:12570 CLAY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-5593
Practice Address - Country:US
Practice Address - Phone:281-408-9051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215180224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant