Provider Demographics
NPI:1417069717
Name:SAKERWALLA, FARIDA M (OT)
Entity Type:Individual
Prefix:MRS
First Name:FARIDA
Middle Name:M
Last Name:SAKERWALLA
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17151 MOUNTAIN CREST DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-2311
Mailing Address - Country:US
Mailing Address - Phone:281-655-8305
Mailing Address - Fax:
Practice Address - Street 1:13611 SKINNER RD
Practice Address - Street 2:SUITE # 160
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429
Practice Address - Country:US
Practice Address - Phone:832-640-1042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105819225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist