Carol Devera Guillory, OTR | |
4535 Holst St, Beaumont, TX 77708-1531 | |
(409) 656-2367 | |
Not Available |
Full Name | Carol Devera Guillory |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 4535 Holst St, Beaumont, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356966980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 108181 (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 |
---|---|
Carol Devera Guillory, OTR 4535 Holst St, Beaumont, TX 77708-1531 Ph: (409) 656-2367 | Carol Devera Guillory, OTR 4535 Holst St, Beaumont, TX 77708-1531 Ph: (409) 656-2367 |
Wanda G Taylor, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Interstate 10 N Ste 225, Beaumont, TX 77707 Phone: 409-835-0228 Fax: 409-835-0151 | |
Rachael K Meguess, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2250 Dowlen Rd, Beaumont, TX 77706 Phone: 409-860-9203 Fax: 409-860-9203 | |
Katherine Ann Dos Santos, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 S 23rd St, Beaumont, TX 77707 Phone: 409-842-9700 | |
Mr. Francisco Tays Jr., OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3560 Delaware St Ste 311, Beaumont, TX 77706 Phone: 409-299-4638 Fax: 409-299-4640 | |
Mrs. Mary Elizabeth Franklin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 S 23rd St, Beaumont, TX 77707 Phone: 409-842-9700 Fax: 409-842-1829 | |
Monique Estelle De Pau, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Interstate 10 N, 225, Beaumont, TX 77707 Phone: 409-835-0228 Fax: 409-835-0151 | |
Lori Kaye Mcgalin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 Dowlen Rd, Beaumont, TX 77706 Phone: 409-861-1000 Fax: 409-861-2241 |