Mrs Avery Kristie De La Pena, MSOT, OTR | |
18 Scenic Loop Rd # 200d, Boerne, TX 78006-8672 | |
(830) 755-0098 | |
Not Available |
Full Name | Mrs Avery Kristie De La Pena |
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Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 18 Scenic Loop Rd # 200d, Boerne, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1083133813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225XP0200X | Occupational Therapist - Pediatrics | 118625 (Texas) | Primary |
Provider Name | Bluebonnet Pediatric Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982358420 PECOS PAC ID: 1557899457 Enrollment ID: O20250106001934 |
Mailing Address | Practice Location Address |
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Mrs Avery Kristie De La Pena, MSOT, OTR 7631 Ponderosa Pne, Boerne, TX 78015-5141 Ph: () - | Mrs Avery Kristie De La Pena, MSOT, OTR 18 Scenic Loop Rd # 200d, Boerne, TX 78006-8672 Ph: (830) 755-0098 |
Alpha Patel-challapalli, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Upper Balcones Rd, Boerne, TX 78006 Phone: 210-360-1662 Fax: 210-568-2228 | |
Lani Tolentino, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1050 Grand Blvd, Boerne, TX 78006 Phone: 830-816-4105 | |
Andrea Luck, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 Cool Rock, Boerne, TX 78006 Phone: 575-637-9089 | |
David Scott Rose, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18 Scenic Loop Rd, Boerne, TX 78006 Phone: 830-755-6091 | |
Carol Fuentes, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 625 N Main St, Boerne, TX 78006 Phone: 830-249-5776 | |
Clarissa San Juan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18 Scenic Loop Rd # 200d, Boerne, TX 78006 Phone: 830-755-0098 |