Basic Information
Provider Information
NPI: 1619639960
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RITCHEY
FirstName: CLAUDIA
MiddleName: JANE
NamePrefix:  
NameSuffix:  
Credential: OTD, OTR/L
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 4209 SPRING STUEBNER RD APT 21101
Address2:  
City: SPRING
State: TX
PostalCode: 773895384
CountryCode: US
TelephoneNumber: 3374121294
FaxNumber:  
Practice Location
Address1: 11001 CRESCENT MOON DR
Address2:  
City: HOUSTON
State: TX
PostalCode: 770644024
CountryCode: US
TelephoneNumber: 2814778877
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/13/2021
LastUpdateDate: 10/13/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X122143TXY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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