Clarissa Nicole Kercher, OTR/L | |
1707 Fountainview Dr, Mansfield, TX 76063-5091 | |
(817) 752-9662 | |
Not Available |
Full Name | Clarissa Nicole Kercher |
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Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 1707 Fountainview Dr, Mansfield, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154962728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 120228 (Texas) | Primary |
Provider Name | Wowyfitness, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1437761178 PECOS PAC ID: 8224440003 Enrollment ID: O20201221000243 |
Mailing Address | Practice Location Address |
---|---|
Clarissa Nicole Kercher, OTR/L 1707 Fountainview Dr, Mansfield, TX 76063-5091 Ph: (817) 752-9662 | Clarissa Nicole Kercher, OTR/L 1707 Fountainview Dr, Mansfield, TX 76063-5091 Ph: (817) 752-9662 |
Karissa Michelle Hill, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Regency Pkwy, Suite 313, Mansfield, TX 76063 Phone: 888-864-3572 | |
Brooke Antonioli, OTD, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2801 E Broad St, Mansfield, TX 76063 Phone: 817-375-5200 | |
Kylie Lanier Sheppard, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2501 N Walnut Creek Dr, Mansfield, TX 76063 Phone: 214-709-1066 | |
Mrs. Casie A Hough, MOT, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Regency Pkwy, Ste 313, Mansfield, TX 76063 Phone: 682-518-5100 Fax: 817-887-0815 | |
April Hipp, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Debbie Ln, Mansfield, TX 76063 Phone: 817-225-2912 | |
Flenisia Ealy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Rim Rock Trl, Mansfield, TX 76063 Phone: 817-446-5000 Fax: 817-332-7801 |