| Great Minds Academy | |
|
309 Plantation Dr Ste P, Lake Jackson, TX 77566-6142 | |
| (979) 418-7165 | |
| (800) 419-5153 |
| Full Name | Great Minds Academy |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 309 Plantation Dr Ste P, Lake Jackson, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760162572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Mary Ann Harnden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619953023 PECOS PAC ID: 0749290476 Enrollment ID: I20060426000260 |
| Provider Name | Edna Lucio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245216654 PECOS PAC ID: 8224048962 Enrollment ID: I20060426000289 |
| Mailing Address | Practice Location Address |
|---|---|
| Great Minds Academy 309 Plantation Dr Ste P, Lake Jackson, TX 77566-6142 Ph: () - | Great Minds Academy 309 Plantation Dr Ste P, Lake Jackson, TX 77566-6142 Ph: (979) 418-7165 |
Frank Jesse Spates, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 135 Oyster Creek Dr Ste P, Lake Jackson, TX 77566 Phone: 979-480-1093 | |
Michel Antoinette Foster, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 Plantation Dr, Lake Jackson, TX 77566 Phone: 979-418-7165 Fax: 800-419-5153 | |
Fabiola Negrete, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 309 Plantation Dr, Lake Jackson, TX 77566 Phone: 979-418-7165 Fax: 979-848-8337 | |
Mrs. Kary Tracy, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Lake Rd, Lake Jackson, TX 77566 Phone: 979-258-7247 Fax: 979-258-7247 | |
Leah Price, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Dogwood St, Lake Jackson, TX 77566 Phone: 979-285-7114 | |
Mrs. Lisa Marie Greak, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Garland Dr, Lake Jackson, TX 77566 Phone: 979-297-3365 Fax: 979-297-3541 | |
Angel Leaf Rehab And Consulting Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 337 Sheri Ln, Lake Jackson, TX 77566 Phone: 281-229-0263 Fax: 979-798-5153 |