Provider Demographics
NPI:1285889725
Name:WATSON, MARTHA EILEEN (COTA)
Entity type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:EILEEN
Last Name:WATSON
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 GOLFVIEW DR
Mailing Address - Street 2:APT.#803
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5136
Mailing Address - Country:US
Mailing Address - Phone:281-762-2429
Mailing Address - Fax:
Practice Address - Street 1:4225 DENMARK ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-6801
Practice Address - Country:US
Practice Address - Phone:713-631-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201184224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant