Selma Livia Rendon, | |
9230 Kirby Dr Ste 100, Houston, TX 77054-2541 | |
(713) 497-5335 | |
(833) 891-3211 |
Full Name | Selma Livia Rendon |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 9230 Kirby Dr Ste 100, 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 |
---|---|---|---|
1578881223 | NPI | - | NPPES |
113641 | Other | TX | OCCUPATIONAL THERAPIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 113641 (Texas) | Primary |
Provider Name | Lymphedema Therapy Specialists Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578104352 PECOS PAC ID: 4183956451 Enrollment ID: O20191106001489 |
Mailing Address | Practice Location Address |
---|---|
Selma Livia Rendon, 8719 Copperbrook Dr Ste G, Houston, TX 77095-4575 Ph: (956) 655-6972 | Selma Livia Rendon, 9230 Kirby Dr Ste 100, Houston, TX 77054-2541 Ph: (713) 497-5335 |
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