Provider Demographics
NPI:1578113213
Name:ROBINSON, ASHLYNN BROOKE (COTA)
Entity Type:Individual
Prefix:
First Name:ASHLYNN
Middle Name:BROOKE
Last Name:ROBINSON
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 1:15803 MUSTANG MOUNTAIN CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-2137
Mailing Address - Country:US
Mailing Address - Phone:281-475-0232
Mailing Address - Fax:
Practice Address - Street 1:15803 MUSTANG MOUNTAIN CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-2137
Practice Address - Country:US
Practice Address - Phone:281-475-0232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-15
Last Update Date:2019-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215774224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant