Provider Demographics
NPI:1831671361
Name:MCCALL, AARICA NICHELLE (COTA)
Entity Type:Individual
Prefix:
First Name:AARICA
Middle Name:NICHELLE
Last Name:MCCALL
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 1:3819 DENVER ARBOR CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77053-2805
Mailing Address - Country:US
Mailing Address - Phone:832-578-3108
Mailing Address - Fax:
Practice Address - Street 1:3819 DENVER ARBOR CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-2805
Practice Address - Country:US
Practice Address - Phone:832-578-3108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215364224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant