MEDICARE: EMMA CHARLOTTE PRATT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	102484	TX

General Provider Information

NPI Number	:	1184981136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA CHARLOTTE PRATT

Provider Business Mailing Address
First Line	:	22307 WALNUT VALLEY DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-4766
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13100 NORTHWEST FWY
Second Line	:	SUITE 360
City	:	HOUSTON
State	:	TX
Zip	:	77040-6310
Country	:	US
Telephone Number	:	713-877-8447
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2012
Last Update Date	:	04/16/2012

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Directions to “ EMMA CHARLOTTE PRATT ” Practice Location

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