Provider Demographics
NPI:1043055114
Name:PLEZIA, ELIZABETH FAYE (OTR)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:FAYE
Last Name:PLEZIA
Suffix:
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 1:10711 DEERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-1116
Mailing Address - Country:US
Mailing Address - Phone:832-683-1395
Mailing Address - Fax:
Practice Address - Street 1:8111 CYPRESSWOOD DR STE 102
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7180
Practice Address - Country:US
Practice Address - Phone:281-376-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124508225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist