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General NPI Number Information
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NPI Number | 1770449381
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Entity Type | Individual
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Provider Name | KIRK RICARDO COWARDBEY OTD,OTR/L,CLT,CSWS
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Gender | Male
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Dates
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Enumeration Date | 12/27/2025
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Last Update Date | 12/27/2025
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Provider Practice Location Address
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Address Line | 3926 HOLDER FOREST DR
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City | HOUSTON
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State | TX
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Zip | 77088-7438
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Country | US
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Telephone | 832-724-5907
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 924661
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City | HOUSTON
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State | TX
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Zip | 77292
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Country | US
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Telephone | 832-724-5907
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 113147
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 113147
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License Number State | TX
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