Provider Demographics
NPI:1730860404
Name:ABOWD, VIRGINIA PAIGE (COTA)
Entity type:Individual
Prefix:MISS
First Name:VIRGINIA
Middle Name:PAIGE
Last Name:ABOWD
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 1:4220 CARTWRIGHT RD STE 705
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5312
Mailing Address - Country:US
Mailing Address - Phone:832-490-8488
Mailing Address - Fax:713-456-2041
Practice Address - Street 1:4220 CARTWRIGHT RD STE 705
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5312
Practice Address - Country:US
Practice Address - Phone:832-490-8488
Practice Address - Fax:713-456-2041
Is Sole Proprietor?:No
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX217900224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant