Dyna A Jose, | |
915 W Exchange Pkwy Ste 100, Allen, TX 75013-7018 | |
(214) 547-1571 | |
Not Available |
Full Name | Dyna A Jose |
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Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 915 W Exchange Pkwy Ste 100, Allen, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457827933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 113815 (Texas) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261 |
Mailing Address | Practice Location Address |
---|---|
Dyna A Jose, 5000 Whitestone Ln Apt 122, Plano, TX 75024-3033 Ph: (201) 989-7577 | Dyna A Jose, 915 W Exchange Pkwy Ste 100, Allen, TX 75013-7018 Ph: (214) 547-1571 |
Kelly Frye, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 915 W Exchange Pkwy Ste 100, Allen, TX 75013 Phone: 214-547-1571 | |
Laura Battaia, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 916 Carnegie Ct, Allen, TX 75002 Phone: 972-742-0442 | |
Katie Peacock, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 N Watters Rd Ste 150, Allen, TX 75013 Phone: 469-675-3153 Fax: 469-675-3154 | |
Mrs. Joella Dawn Mcgrew, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 515 W Main St, Suite 111, Allen, TX 75013 Phone: 214-509-6961 Fax: 214-382-0943 | |
Jennifer Lopez, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Junction Dr, Allen, TX 75013 Phone: 469-675-3153 | |
Dr. Robin Bolla Jr., OTR, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 997 Raintree Cir Ste 170&180, Allen, TX 75013 Phone: 972-727-1931 | |
Mckenzie Leigh Moninger, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Junction Dr, Allen, TX 75013 Phone: 469-675-3153 |