Healthcare Provider Details

I. General information

NPI: 1295835486
Provider Name (Legal Business Name): REBECCA LYNN CUE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA LYNN PHILLIPS OTR/L

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12605 EAST FWY STE 212
HOUSTON TX
77015-5619
US

IV. Provider business mailing address

2020 KRENEK RD
CROSBY TX
77532-6354
US

V. Phone/Fax

Practice location:
  • Phone: 713-453-0400
  • Fax:
Mailing address:
  • Phone: 281-381-0305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number109815
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: