Provider Demographics
NPI:1285466250
Name:ETKA, CATHERINE CLARE (OTR/L)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:CLARE
Last Name:ETKA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4310 DUNLAVY ST APT 219
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5294
Mailing Address - Country:US
Mailing Address - Phone:802-377-7722
Mailing Address - Fax:
Practice Address - Street 1:4310 DUNLAVY ST APT 219
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5294
Practice Address - Country:US
Practice Address - Phone:802-377-7722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-17
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist