Provider Demographics
NPI:1184432338
Name:YOUSEF, AISHEH NIHAD (COTA/L)
Entity type:Individual
Prefix:
First Name:AISHEH
Middle Name:NIHAD
Last Name:YOUSEF
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 N NURSERY RD APT 231
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-5210
Mailing Address - Country:US
Mailing Address - Phone:313-888-5200
Mailing Address - Fax:
Practice Address - Street 1:1312 N NURSERY RD APT 231
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-5210
Practice Address - Country:US
Practice Address - Phone:313-888-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218649224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant