Healthcare Provider Details

I. General information

NPI: 1376044172
Provider Name (Legal Business Name): STEPHANIE OGUCHI OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2018
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14360 BELLAIRE BLVD STE 132
HOUSTON TX
77083-7516
US

IV. Provider business mailing address

14360 BELLAIRE BLVD STE 132
HOUSTON TX
77083-7516
US

V. Phone/Fax

Practice location:
  • Phone: 832-562-1649
  • Fax:
Mailing address:
  • Phone: 832-562-1649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: