Roni Wilson, MA CCC/SLP | |
19307 Egret Wood Way, Cypress, TX 77429-4329 | |
(832) 875-9878 | |
Not Available |
Full Name | Roni Wilson |
---|---|
Gender | Female |
Speciality | Qualified Speech Language Pathologist |
Experience | 27 Years |
Location | 19307 Egret Wood Way, Cypress, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558725325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 18551 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Powerback Rehabilitation Llc | 2365359932 | 219 |
Provider Name | Powerback Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1427454164 PECOS PAC ID: 2365359932 Enrollment ID: O20150529002032 |
Mailing Address | Practice Location Address |
---|---|
Roni Wilson, MA CCC/SLP 19307 Egret Wood Way, Cypress, TX 77429-4329 Ph: (832) 875-9878 | Roni Wilson, MA CCC/SLP 19307 Egret Wood Way, Cypress, TX 77429-4329 Ph: (832) 875-9878 |
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