Provider Demographics
NPI:1760767222
Name:GRISSETT, MEREDITH HARGIS (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:HARGIS
Last Name:GRISSETT
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11777 KATY FWY
Mailing Address - Street 2:SUITE 260
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1703
Mailing Address - Country:US
Mailing Address - Phone:281-558-5437
Mailing Address - Fax:
Practice Address - Street 1:11777 KATY FWY
Practice Address - Street 2:SUITE 260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1703
Practice Address - Country:US
Practice Address - Phone:281-558-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX209439224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant