Healthcare Provider Details

I. General information

NPI: 1457679995
Provider Name (Legal Business Name): CHRISTIE ANN SIMPSON OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 05/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12735 BRIAR HARBOR DR
TOMBALL TX
77377-8077
US

IV. Provider business mailing address

12735 BRIAR HARBOR DR
TOMBALL TX
77377-8077
US

V. Phone/Fax

Practice location:
  • Phone: 281-414-9852
  • Fax:
Mailing address:
  • Phone: 281-414-9852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number110639
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: