Provider Demographics
NPI:1962265991
Name:TREADWELL, ASIA CHANNEL (OT)
Entity type:Individual
Prefix:
First Name:ASIA
Middle Name:CHANNEL
Last Name:TREADWELL
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13903 MOWBRAY CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1543
Mailing Address - Country:US
Mailing Address - Phone:832-692-6751
Mailing Address - Fax:
Practice Address - Street 1:13903 MOWBRAY CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1543
Practice Address - Country:US
Practice Address - Phone:832-692-6751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124072225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist