Provider Demographics
NPI:1962611798
Name:CARLING, CHERYL PHILLIPS (COTA)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:PHILLIPS
Last Name:CARLING
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 1:9810 SAGEMOSS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-4225
Mailing Address - Country:US
Mailing Address - Phone:832-243-6744
Mailing Address - Fax:
Practice Address - Street 1:9810 SAGEMOSS LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-4225
Practice Address - Country:US
Practice Address - Phone:832-243-6744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207924224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant