| Adiary Larson, | |
|
404 W Goodwin St, Pleasanton, TX 78064-4099 | |
| (830) 569-2138 | |
| Not Available |
| Full Name | Adiary Larson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 404 W Goodwin St, Pleasanton, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992572457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Sky Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1306686670 PECOS PAC ID: 3870027295 Enrollment ID: O20250206002248 |
| Mailing Address | Practice Location Address |
|---|---|
| Adiary Larson, 1102 S Ridge Cir, Cottonwood, AZ 86326-4338 Ph: (602) 435-4262 | Adiary Larson, 404 W Goodwin St, Pleasanton, TX 78064-4099 Ph: (830) 569-2138 |
Sue Ann Owens, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1855 W Goodwin St, Pleasanton, TX 78064 Phone: 830-569-4313 | |
Magen Dxon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1855 W Goodwin St, Pleasanton, TX 78064 Phone: 830-569-4313 | |
Larson Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6960 Coughran Rd, Pleasanton, TX 78064 Phone: 602-435-4262 |