Provider Demographics
NPI:1891848487
Name:POLLACK, CINDY BETH (OTR)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:BETH
Last Name:POLLACK
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 LAKOTA PASS
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-6563
Mailing Address - Country:US
Mailing Address - Phone:954-464-3329
Mailing Address - Fax:512-300-0570
Practice Address - Street 1:1425 HWY 290 WEST
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-3402
Practice Address - Country:US
Practice Address - Phone:512-858-2507
Practice Address - Fax:512-858-0905
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112805225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics