Eduardo Camilo Powell, OTR | |
905 Ohio St, Vidor, TX 77662-6637 | |
(713) 805-4095 | |
Not Available |
Full Name | Eduardo Camilo Powell |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 905 Ohio St, 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 |
---|---|---|---|
1801107305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 113290 (Texas) | Primary |
Provider Name | Orthopaedic And Neurological Rehab Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20200902001151 |
Provider Name | Empowerme Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1144954074 PECOS PAC ID: 2769723162 Enrollment ID: O20230127000420 |
Mailing Address | Practice Location Address |
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Eduardo Camilo Powell, OTR 3700 83rd St Apt 3, Galveston, TX 77554-9261 Ph: (832) 465-9083 | Eduardo Camilo Powell, OTR 905 Ohio St, Vidor, TX 77662-6637 Ph: (713) 805-4095 |
Allisen Segerson, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 500 South Street, Ste. 500, Vidor, TX 77662 Phone: 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 | |
Kyra Poole, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 500 South St Unit 300, Vidor, TX 77662 Phone: 254-644-2423 |