Provider Demographics
NPI:1730919101
Name:MYERS, CHRISTINA LATOYA (COTA)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LATOYA
Last Name:MYERS
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:LATOYA
Other - Last Name:REUTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:7312 MOUNTAIN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-1496
Mailing Address - Country:US
Mailing Address - Phone:469-455-6649
Mailing Address - Fax:
Practice Address - Street 1:2600 COMPASS RD
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8001
Practice Address - Country:US
Practice Address - Phone:877-787-3430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX217866224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty