Provider Demographics
NPI:1285011841
Name:CALLIER, MICHELLE (OCCUPATIONAL,THERAPI)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:CALLIER
Suffix:
Gender:F
Credentials:OCCUPATIONAL,THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4926 WINDY ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084
Mailing Address - Country:US
Mailing Address - Phone:432-238-8911
Mailing Address - Fax:
Practice Address - Street 1:4423 SHADOWDALE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040
Practice Address - Country:US
Practice Address - Phone:713-466-6872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116821225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116821OtherOT LICENSE NUMBER