Cynthia Louise Allred, COTA

Individual provider Active NPI Occupational Therapy Assistant · Heathrow, FL

NPI 1558538322 · NPPES record last updated Jun 25, 2008

Key facts

NPI
1558538322
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
209291 (TX)
Practice address
1485 International Pkwy Ste 2051
Heathrow, FL 32746-5352
Phone
(800) 798-6035
Fax
(888) 798-6035
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
209291TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Voyage Staffing Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 209291 TX Yes

Addresses

Primary practice location

1485 International Pkwy Ste 2051
Heathrow, FL 32746-5352

Mailing address

12699 Maxwell St
Willis, TX 77378-2785
Phone (936) 228-0408

Other providers in Heathrow, FL

All providers in Heathrow, FL · Occupational Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.