Provider Demographics
NPI:1649502238
Name:ORTEGA, EVA MARIE (OT)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:MARIE
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20334 HAMPSHIRE ROCKS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3000
Mailing Address - Country:US
Mailing Address - Phone:832-350-2477
Mailing Address - Fax:
Practice Address - Street 1:12302 HIGH STAR DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-1124
Practice Address - Country:US
Practice Address - Phone:713-532-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX304905225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist