Provider Demographics
NPI:1649845926
Name:BROWDER, RILEY LEIGHTON (MSOT, OTR)
Entity type:Individual
Prefix:
First Name:RILEY
Middle Name:LEIGHTON
Last Name:BROWDER
Suffix:
Gender:F
Credentials:MSOT, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HARDY BROWDER RD
Mailing Address - Street 2:
Mailing Address - City:NEW WAVERLY
Mailing Address - State:TX
Mailing Address - Zip Code:77358-5717
Mailing Address - Country:US
Mailing Address - Phone:936-661-9779
Mailing Address - Fax:
Practice Address - Street 1:8850 SIX PINES DR STE 240
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-2608
Practice Address - Country:US
Practice Address - Phone:281-298-5811
Practice Address - Fax:281-298-5849
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120710225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand