Provider Demographics
NPI:1821566225
Name:WHELESS, CATHERINE (MOT, OTR/L, CBIS)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:WHELESS
Suffix:
Gender:F
Credentials:MOT, OTR/L, CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5755 ALMEDA RD UNIT 613
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-8124
Mailing Address - Country:US
Mailing Address - Phone:901-628-4433
Mailing Address - Fax:
Practice Address - Street 1:6621 FANNIN STREET
Practice Address - Street 2:WEST TOWER 21ST FLOOR
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:832-826-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119188225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist