Provider Demographics
NPI:1962130906
Name:SANCHEZ, KENY G (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:KENY
Middle Name:G
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8235 WINDY ACRES DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-2217
Mailing Address - Country:US
Mailing Address - Phone:832-347-2745
Mailing Address - Fax:
Practice Address - Street 1:504 BERING DR APT 409
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-1482
Practice Address - Country:US
Practice Address - Phone:832-681-9050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX217466224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX217466OtherECPTOTE