| Lisa Michelle Holloway, OT, MHL, CAPS | |
|
9328 Wood Duck Dr, Fort Worth, TX 76118-7784 | |
| (817) 891-3255 | |
| Not Available |
| Full Name | Lisa Michelle Holloway |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 9328 Wood Duck Dr, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518577469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 104860 (Texas) | Primary |
| Provider Name | Lifestyle Transitions Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184226490 PECOS PAC ID: 1557761814 Enrollment ID: O20210609000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Michelle Holloway, OT, MHL, CAPS 9328 Wood Duck Dr, Fort Worth, TX 76118-7784 Ph: (817) 891-3255 | Lisa Michelle Holloway, OT, MHL, CAPS 9328 Wood Duck Dr, Fort Worth, TX 76118-7784 Ph: (817) 891-3255 |
Ms. Mary Cathrine Mckenzie, MOT/OTR, CPRCS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7217 Hawkins View Dr Ste 201, Fort Worth, TX 76132 Phone: 817-479-7019 | |
Holly Christina Andrews, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5316 Trail Lake Dr, Fort Worth, TX 76133 Phone: 817-292-8787 Fax: 817-789-6489 | |
Mrs. Sue Khammar, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4140 Tamworth Rd, Fort Worth, TX 76116 Phone: 817-386-5500 Fax: 817-386-5500 | |
Danyelle Braelyn Huffaker, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8000 Calmont Ave, Fort Worth, TX 76116 Phone: 817-400-2273 | |
Lauren Elizabeth Galipp, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Fort Worth, TX 76107 Phone: 817-335-3022 | |
Katherine Moos, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5300 Altamesa Blvd, Fort Worth, TX 76133 Phone: 817-346-1800 | |
Diane R Alfino, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 West Fwy, Suite 100, Fort Worth, TX 76102 Phone: 888-997-2669 |