Provider Demographics
NPI:1235265968
Name:MCGREW, KIMBERLY (OTR, CHT)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:MCGREW
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11307 FM 1960 RD W
Mailing Address - Street 2:STE 270
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4917
Mailing Address - Country:US
Mailing Address - Phone:281-970-8002
Mailing Address - Fax:281-970-8770
Practice Address - Street 1:11307 FM 1960 RD W
Practice Address - Street 2:STE 270
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4917
Practice Address - Country:US
Practice Address - Phone:281-970-8002
Practice Address - Fax:281-970-8770
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111009225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist