| Josefina Charles, OTR | |
|
1701 Tournament Trail Dr, Laredo, TX 78041 | |
| (956) 727-3422 | |
| Not Available |
| Full Name | Josefina Charles |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1701 Tournament Trail Dr, Laredo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790094910 | NPI | - | NPPES |
| 1714362-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XG0600X | Occupational Therapist - Gerontology | 111796 (Texas) | Secondary |
| 225X00000X | Occupational Therapist | 111796 (Texas) | Primary |
| Provider Name | South Texas Direct Physical Therapy, Llc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1710505466 PECOS PAC ID: 3476978651 Enrollment ID: O20200805000687 |
| Provider Name | South Texas Direct Kids Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881347441 PECOS PAC ID: 1658767454 Enrollment ID: O20220404001799 |
| Mailing Address | Practice Location Address |
|---|---|
| Josefina Charles, OTR 10732 Patron Loop, Laredo, TX 78045-6526 Ph: () - | Josefina Charles, OTR 1701 Tournament Trail Dr, Laredo, TX 78041 Ph: (956) 727-3422 |
Mrs. Lissa Lope Liveson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Corpus Christi St, Suite 14, Laredo, TX 78043 Phone: 956-724-5448 Fax: 956-724-5449 | |
Lorinda Lynette Harris, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2110 Lomas Del Sur Ste 114, Laredo, TX 78046 Phone: 956-712-9111 | |
Dianna Michelle Medina, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Chihuahua St, Suite 107, Laredo, TX 78040 Phone: 956-723-3737 Fax: 956-723-3736 | |
Haley Jo Barrick, B.S. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1319 E Hillside Rd, Laredo, TX 78041 Phone: 956-723-6600 | |
Angelica Brooke Gonzalez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5702 Mcpherson Rd Ste 15, Laredo, TX 78041 Phone: 956-725-4555 | |
Miriam Elisabeth Pelto, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3507 Jaime Zapata Memorial Highway, Ste. 10-b, Laredo, TX 78043 Phone: 956-753-5600 Fax: 956-725-6301 | |
Alejandro Alfonso Cantu, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1220 N Malinche Ave, Laredo, TX 78043 Phone: 956-722-2431 Fax: 956-722-7553 |