Provider Demographics
NPI:1376007021
Name:KLEINER, CAROLINE GABRIELLE (COTA)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:GABRIELLE
Last Name:KLEINER
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 1:1508 W 24TH ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1513
Mailing Address - Country:US
Mailing Address - Phone:713-851-2477
Mailing Address - Fax:
Practice Address - Street 1:9602 HUFFMEISTER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2895
Practice Address - Country:US
Practice Address - Phone:281-463-9001
Practice Address - Fax:281-463-9001
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX214043224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant