Kyra Lee Moss, LOTR | |
2335 Church St, Ste G, Zachary, LA 70791-2700 | |
(225) 654-8208 | |
(225) 654-4642 |
Full Name | Kyra Lee Moss |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2335 Church St, Zachary, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194927434 | NPI | - | NPPES |
4B790C943 | Other | LA | MEDICARE |
1025071 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTT.Z11046 (Louisiana) | Primary |
Provider Name | Peak Performance Physical Therapy Limited Partnership |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770166886 PECOS PAC ID: 0446651178 Enrollment ID: O20210701000709 |
Mailing Address | Practice Location Address |
---|---|
Kyra Lee Moss, LOTR 2335 Church St, Ste G, Zachary, LA 70791-2700 Ph: (225) 654-8208 | Kyra Lee Moss, LOTR 2335 Church St, Ste G, Zachary, LA 70791-2700 Ph: (225) 654-8208 |
Amy B Dixon, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2335 Church St, Suite G, Zachary, LA 70791 Phone: 225-654-8208 Fax: 225-654-4642 | |
Sydney Ray Whittingslow, MS/OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1326 Church St, Zachary, LA 70791 Phone: 225-654-8208 | |
Cynthia B Smith, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3755 Church St, Zachary, LA 70791 Phone: 225-658-4969 | |
Amandalin Hopkins Whittington, LOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4555 Bert St, Zachary, LA 70791 Phone: 225-931-2739 | |
Mary K Deranger, PT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2335 Church St Ste G, Zachary, LA 70791 Phone: 225-654-8208 Fax: 225-654-4642 | |
Rivet Hand Rehabilitation Center Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5568 Main St, Suite A, Zachary, LA 70791 Phone: 225-654-4330 Fax: 225-286-4330 |