Kyra Poole, OTR/L | |
500 South St Unit 300, Vidor, TX 77662-6183 | |
(254) 644-2423 | |
Not Available |
Full Name | Kyra Poole |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 500 South St Unit 300, 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 |
---|---|---|---|
1972147486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Kids Therapy Set Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194073353 PECOS PAC ID: 7315363488 Enrollment ID: O20220324000385 |
Mailing Address | Practice Location Address |
---|---|
Kyra Poole, OTR/L 4900 Sanger Ave, Waco, TX 76710-5866 Ph: (254) 848-6284 | Kyra Poole, OTR/L 500 South St Unit 300, Vidor, TX 77662-6183 Ph: (254) 644-2423 |
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 | |
Eduardo Camilo Powell, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 905 Ohio St, Vidor, TX 77662 Phone: 713-805-4095 |