Provider Demographics
NPI:1144872649
Name:KITT, FATIMA LASHA (OTR/L)
Entity type:Individual
Prefix:
First Name:FATIMA
Middle Name:LASHA
Last Name:KITT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 N MEMORIAL WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-8503
Mailing Address - Country:US
Mailing Address - Phone:334-314-9133
Mailing Address - Fax:
Practice Address - Street 1:1520 N MEMORIAL WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-8503
Practice Address - Country:US
Practice Address - Phone:334-314-9133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119464225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist