Provider Demographics
NPI:1306148069
Name:SCHRENK, NICOLE MORFIS (MOT, OTR, CHT, C/NDT)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:MORFIS
Last Name:SCHRENK
Suffix:
Gender:F
Credentials:MOT, OTR, CHT, C/NDT
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:MORFIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OTR/L
Mailing Address - Street 1:18200 KATY FWY STE WA130
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1341
Mailing Address - Country:US
Mailing Address - Phone:832-227-1825
Mailing Address - Fax:
Practice Address - Street 1:18200 KATY FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1285
Practice Address - Country:US
Practice Address - Phone:832-227-1825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT13995225X00000X
TX115538225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist