MRS. HARRIET DEANDRA WILSON CTRS NPI 1588328298

NPI Information

NPI: 1588328298
Provider Name: MRS. HARRIET DEANDRA WILSON, CTRS
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
10880 BARKER CYPRESS RD APT 9104
CYPRESS, TX
ZIP 77433
Phone: (601) 566-3824
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MRS. Harriet Deandra Wilson, CTRS is a recreation therapist in Cypress, TX. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. MRS. Harriet Deandra Wilson, CTRS NPI is 1588328298. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10880 BARKER CYPRESS RD APT 9104
CYPRESS, TX
ZIP 77433-073
Phone: (601) 566-3824

The enumeration date for this NPI number is 10/28/2021 and was last updated on 10/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225800000X	Recreation Therapist		81452	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1750905816	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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