| Mary Littlejohn, | |
|
921 Gessner Rd, Houston, TX 77024-2501 | |
| (713) 557-8302 | |
| Not Available |
| Full Name | Mary Littlejohn |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 921 Gessner Rd, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700659620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 110209 (Texas) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Littlejohn, 13903 Woodthorpe Ln, Houston, TX 77079-5820 Ph: (713) 557-8302 | Mary Littlejohn, 921 Gessner Rd, Houston, TX 77024-2501 Ph: (713) 557-8302 |
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