Ms Ivy Mae Bunachita Carrillo, OTR/L | |
200 N New Mexico Dr., Celina, TX 75009 | |
(214) 851-5555 | |
Not Available |
Full Name | Ms Ivy Mae Bunachita Carrillo |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 200 N New Mexico Dr., Celina, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487816427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 7849 (California) | Secondary |
225X00000X | Occupational Therapist | 122218 (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 |
---|---|
Ms Ivy Mae Bunachita Carrillo, OTR/L 3912 Indian Grass Ln, Prosper, TX 75078 Ph: (661) 472-5413 | Ms Ivy Mae Bunachita Carrillo, OTR/L 200 N New Mexico Dr., Celina, TX 75009 Ph: (214) 851-5555 |
Integrity Therapy Solutions, Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1924 Edgewater St, Celina, TX 75009 Phone: 856-558-1268 Fax: 214-975-2134 | |
Omo Imafidon, MOT, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 918 W Walnut St Unit 65, Celina, TX 75009 Phone: 972-991-6777 | |
Molab Staffing Solutions Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 918 W Walnut St Unit 65, Celina, TX 75009 Phone: 469-831-9908 | |
Collin Michael Cooper, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1132 Bluebird Way, Celina, TX 75009 Phone: 310-753-1007 | |
Mr. Ireneo Candela, OTR/ L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1924 Edgewater St, Celina, TX 75009 Phone: 856-558-1268 | |
Leslie Steed, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3248 S Preston Rd Ste 130, Celina, TX 75009 Phone: 214-851-5555 |