Provider Demographics
NPI:1841579430
Name:GARZA, EILEEN ROSENDALE (OTR, PHD, ATP)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:ROSENDALE
Last Name:GARZA
Suffix:
Gender:F
Credentials:OTR, PHD, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26327 PIN OAK DR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-2914
Mailing Address - Country:US
Mailing Address - Phone:281-356-7559
Mailing Address - Fax:281-356-7559
Practice Address - Street 1:26327 PIN OAK DR
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-2914
Practice Address - Country:US
Practice Address - Phone:281-356-7559
Practice Address - Fax:281-356-7559
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1005556225X00000X
TX100556225XE0001X, 225XL0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental Modification
No225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow Vision