Provider Demographics
NPI:1174312813
Name:WEBB, KATRINA (COTA)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:KATRINA
Other - Middle Name:
Other - Last Name:SIRLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:1306 GRANADA CT
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-8864
Mailing Address - Country:US
Mailing Address - Phone:214-282-8419
Mailing Address - Fax:
Practice Address - Street 1:1306 GRANADA CT
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-8864
Practice Address - Country:US
Practice Address - Phone:214-282-8419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX216313224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant