Provider Demographics
NPI:1477319275
Name:MUNOZ, RHONDA JANE (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:JANE
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:JANE
Other - Last Name:MUNOZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7510 N. COUNTY ROAD 2800
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79403-7332
Mailing Address - Country:US
Mailing Address - Phone:614-736-0787
Mailing Address - Fax:
Practice Address - Street 1:1717 NORFOLK AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79416-6099
Practice Address - Country:US
Practice Address - Phone:806-281-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211944224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant