Provider Demographics
NPI:1982234134
Name:COVERBERG OCCUPATIONAL THERAPY, LLC
Entity Type:Organization
Organization Name:COVERBERG OCCUPATIONAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:W
Authorized Official - Last Name:STERNBERG COVER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, SCLV, CLVT, MOT
Authorized Official - Phone:281-935-9762
Mailing Address - Street 1:3007 MAPLE GROVE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-7519
Mailing Address - Country:US
Mailing Address - Phone:281-935-9762
Mailing Address - Fax:832-328-5403
Practice Address - Street 1:440 BENMAR DR STE 3020
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3171
Practice Address - Country:US
Practice Address - Phone:832-328-5994
Practice Address - Fax:832-328-5403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow VisionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112529OtherTBOTE