Healthcare Provider Details

I. General information

NPI: 1497238000
Provider Name (Legal Business Name): HELENA CHRISTINE SEARS OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2018
Last Update Date: 09/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9801 S 1ST ST
AUSTIN TX
78748-6760
US

IV. Provider business mailing address

5337 TAMANGO WAY
AUSTIN TX
78749-4237
US

V. Phone/Fax

Practice location:
  • Phone: 512-292-3071
  • Fax:
Mailing address:
  • Phone: 512-820-9406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number113318
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: