Provider Demographics
NPI:1619718905
Name:LOEB, ROWENA NAVARRO (OTR, OTD)
Entity type:Individual
Prefix:MRS
First Name:ROWENA
Middle Name:NAVARRO
Last Name:LOEB
Suffix:
Gender:F
Credentials:OTR, OTD
Other - Prefix:MS
Other - First Name:ROWENA
Other - Middle Name:BRINOS
Other - Last Name:NAVARRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:121 CROCUS ST
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-4305
Mailing Address - Country:US
Mailing Address - Phone:979-379-8515
Mailing Address - Fax:
Practice Address - Street 1:121 CROCUS ST
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-4305
Practice Address - Country:US
Practice Address - Phone:979-379-8515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124533225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist