Provider Demographics
NPI:1346508298
Name:VOSS, MARK RAYMOND (OTR)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:RAYMOND
Last Name:VOSS
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:23727 SHADOW CREEK CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2203
Mailing Address - Country:US
Mailing Address - Phone:832-725-7047
Mailing Address - Fax:281-394-4532
Practice Address - Street 1:23727 SHADOW CREEK CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2203
Practice Address - Country:US
Practice Address - Phone:832-725-7047
Practice Address - Fax:281-394-4532
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-29
Last Update Date:2012-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107343225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist