MEDICARE: DARBY MCGEE OTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	208538	TX

General Provider Information

NPI Number	:	1477200376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARBY MCGEE OTA

Provider Business Mailing Address
First Line	:	18800 EGRET BAY BLVD APT 1201
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3291
Country	:	US
Telephone Number	:	281-782-4223
Fax Number	:

Provider Business Practice Location Address
First Line	:	18800 EGRET BAY BLVD APT 1201
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3291
Country	:	US
Telephone Number	:	281-782-4223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2022
Last Update Date	:	03/10/2022

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Directions to “ DARBY MCGEE OTA” Practice Location

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