Provider Demographics
NPI:1548649262
Name:SEARCY, ESTHER (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:
Last Name:SEARCY
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 1:2122 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81003-1126
Mailing Address - Country:US
Mailing Address - Phone:719-545-2433
Mailing Address - Fax:
Practice Address - Street 1:2122 W 15TH ST
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-1126
Practice Address - Country:US
Practice Address - Phone:719-545-2433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOTA 0000188224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC31-1679605OtherLEGACY HEALTHCARE SERVICES, INC.