Provider Demographics
NPI:1689137846
Name:SPEIGHTS, CATRINA (OT-ASSISTANT)
Entity Type:Individual
Prefix:MRS
First Name:CATRINA
Middle Name:
Last Name:SPEIGHTS
Suffix:
Gender:F
Credentials:OT-ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30719 LEGENDS TRACE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3883
Mailing Address - Country:US
Mailing Address - Phone:915-740-1349
Mailing Address - Fax:
Practice Address - Street 1:30719 LEGENDS TRACE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-3883
Practice Address - Country:US
Practice Address - Phone:915-740-1349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215537224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant