| Blooming Buds Therapy, Llc | |
|
1004 Starlite Dr, Portland, TX 78374-1929 | |
| (361) 603-6116 | |
| (361) 371-7553 |
| Full Name | Blooming Buds Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 1004 Starlite Dr, Portland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497527410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Christine Hernandez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376932970 PECOS PAC ID: 4587108840 Enrollment ID: I20240701001241 |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Buds Therapy, Llc 1004 Starlite Dr, Portland, TX 78374-1929 Ph: (361) 306-1167 | Blooming Buds Therapy, Llc 1004 Starlite Dr, Portland, TX 78374-1929 Ph: (361) 603-6116 |
Marisol Aldana, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Marriott Dr, Portland, TX 78374 Phone: 361-777-3991 | |
Christine Hernandez, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1004 Starlite Dr, Portland, TX 78374 Phone: 361-603-6116 Fax: 361-371-7553 | |
Kellie Lyn Underwood, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Northshore Blvd, Portland, TX 78374 Phone: 361-643-3777 Fax: 361-643-3777 | |
Jimmy Anthony Canales Ii, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 Cedar Dr, Portland, TX 78374 Phone: 361-643-1888 | |
Ulysses G Cabanog, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Northshore Blvd, Portland, TX 78374 Phone: 361-777-0303 |