| Ashley Faith Grissom, OTR, OTD | |
|
4010 Medical Park Dr, Odessa, TX 79765-2233 | |
| (026) 843-2614 | |
| Not Available |
| Full Name | Ashley Faith Grissom |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4010 Medical Park Dr, Odessa, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356020978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 123706 (Texas) | Primary |
| Provider Name | Tanya Manriquez Lujan, M.s., Ccc-slp, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669836573 PECOS PAC ID: 6800186487 Enrollment ID: O20160610000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Faith Grissom, OTR, OTD 2908 Dustin Dr, Odessa, TX 79762-5447 Ph: (432) 202-9385 | Ashley Faith Grissom, OTR, OTD 4010 Medical Park Dr, Odessa, TX 79765-2233 Ph: (026) 843-2614 |
Vanessa Welshhans, OT/R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4010 Medical Park Dr, Odessa, TX 79765 Phone: 432-614-0595 Fax: 888-972-6512 | |
Karen Wilson Wheat, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 808 Tower Dr, Suite 7, Odessa, TX 79761 Phone: 432-335-8777 Fax: 432-335-8787 | |
Denise Garza, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 808 Tower Dr, Suite 7, Odessa, TX 79761 Phone: 432-335-8777 | |
Leigha Justine Perkins, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 N Alleghaney Ave, Odessa, TX 79761 Phone: 432-332-8244 Fax: 432-580-7428 | |
Amanda Flores, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4010 Medical Park Dr, Odessa, TX 79765 Phone: 432-614-0268 Fax: 888-972-6512 | |
Mrs. Kirsten Stringer, LOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 N Alleghaney Ave, Odessa, TX 79761 Phone: 432-332-8244 Fax: 432-580-7428 | |
Kagen Lee Tranum, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 Tower Dr Ste 112, Odessa, TX 79761 Phone: 432-614-0595 |