Allisen Segerson, OTR | |
500 South Street, Ste. 500, Vidor, TX 77662 | |
(254) 640-0670 | |
Not Available |
Full Name | Allisen Segerson |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 500 South Street, Vidor, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568233013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 124308 (Texas) | Primary |
Provider Name | Kids Therapy Set Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194073353 PECOS PAC ID: 7315363488 Enrollment ID: O20220324000385 |
Mailing Address | Practice Location Address |
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Allisen Segerson, OTR 500 South Street, Ste. 500, Vidor, TX 77662 Ph: (254) 640-0670 | Allisen Segerson, OTR 500 South Street, Ste. 500, Vidor, TX 77662 Ph: (254) 640-0670 |
Krista Marie Grasser, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 500 South St Ste 300, Vidor, TX 77662 Phone: 409-498-4066 | |
Eduardo Camilo Powell, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 905 Ohio St, Vidor, TX 77662 Phone: 713-805-4095 | |
Kyra Poole, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 500 South St Unit 300, Vidor, TX 77662 Phone: 254-644-2423 |