Healthcare Provider Details

I. General information

NPI: 1326784760
Provider Name (Legal Business Name): DEENA ALHUSSEINI OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 04/12/2025
Certification Date: 04/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 E RENNER RD STE 111
RICHARDSON TX
75082-2227
US

IV. Provider business mailing address

1410 E RENNER RD STE 111
RICHARDSON TX
75082-2227
US

V. Phone/Fax

Practice location:
  • Phone: 310-337-7115
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number124083
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number23604
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: