Provider Demographics
NPI:1730906470
Name:GARRETT, TONYA Y SR (OTR)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:Y
Last Name:GARRETT
Suffix:SR
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16819 FRIGATE DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2338
Mailing Address - Country:US
Mailing Address - Phone:832-715-6626
Mailing Address - Fax:
Practice Address - Street 1:14520 HIGHWAY 3
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-1832
Practice Address - Country:US
Practice Address - Phone:281-918-4890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104498225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist