IndividualActive
Ednica Maxineau, OTR/L
NPI 1245956549 · Occupational Therapist · Elgin, TX
Provider details
- NPI number
- 1245956549
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 125155 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
103 Blanco Woods Blvd
Elgin, TX 78621-5819
Phone: (347) 447-7946
Approximate (ZIP-level) locationGet directions
Mailing address
103 Blanco Woods Blvd
Elgin, TX 78621-5819
Registry dates
- Enumerated
- 2022-10-18
- Last updated
- 2025-05-08
- Certified
- 2025-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.