Adrianna Kebodeaux, MS, OTR | |
25222 Northwest Fwy Apt 365, Cypress, TX 77429-1067 | |
(346) 280-7830 | |
Not Available |
Full Name | Adrianna Kebodeaux |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 25222 Northwest Fwy Apt 365, Cypress, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871073163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 116597 (Texas) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839 |
Mailing Address | Practice Location Address |
---|---|
Adrianna Kebodeaux, MS, OTR 25222 Northwest Fwy Apt 365, Cypress, TX 77429-1067 Ph: (346) 280-7830 | Adrianna Kebodeaux, MS, OTR 25222 Northwest Fwy Apt 365, Cypress, TX 77429-1067 Ph: (346) 280-7830 |
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