| Elizabeth Holloway, OTR | |
|
16044 County Road 165, Tyler, TX 75703-7302 | |
| (903) 526-5599 | |
| Not Available |
| Full Name | Elizabeth Holloway |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 16044 County Road 165, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396509584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 124375 (Texas) | Primary |
| Provider Name | Synergy Care Southeast, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20141017000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Holloway, OTR 1097 Pecan Tree Rd, Chandler, TX 75758-5326 Ph: (903) 330-4411 | Elizabeth Holloway, OTR 16044 County Road 165, Tyler, TX 75703-7302 Ph: (903) 526-5599 |
Kimberly Westbrook, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Troup Hwy, Ste. 800, Tyler, TX 75703 Phone: 903-939-2800 | |
Mary Paige Woodfin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Troup Hwy, Suite 800, Tyler, TX 75703 Phone: 903-939-2800 Fax: 817-789-6849 | |
Samantha A Minten, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1204 S Vine Ave, Tyler, TX 75701 Phone: 903-508-9696 | |
Jamie Nutt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5181 Elaine Dr, Tyler, TX 75703 Phone: 409-739-5992 | |
Nicole Rene Wiggins, OTR, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 E Front St, Tyler, TX 75702 Phone: 903-531-2581 | |
Joseph Clinton Staples, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Olympic Plaza Cir, Tyler, TX 75701 Phone: 903-596-3161 | |
Patricia Shaw, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-525-3801 Fax: 903-525-3858 |