| Kendall Jordan Baethge, | |
|
2011 Broadway St Ste 130, Pearland, TX 77581-5945 | |
| (281) 997-8509 | |
| Not Available |
| Full Name | Kendall Jordan Baethge |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2011 Broadway St Ste 130, Pearland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912666280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Bluebonnet Pediatric Therapy Llc |
|---|---|
| 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 |
|---|---|
| Kendall Jordan Baethge, 2011 Broadway St Ste 130, Pearland, TX 77581-5945 Ph: () - | Kendall Jordan Baethge, 2011 Broadway St Ste 130, Pearland, TX 77581-5945 Ph: (281) 997-8509 |
Jennifer Montalvo, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2011 Broadway St Ste 130, Pearland, TX 77581 Phone: 281-997-8509 | |
Mr. Kenneth Goldie Scott, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2907 Broadway Bend Dr, Pearland, TX 77584 Phone: 832-699-2335 | |
Karla Quinones, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2011 Broadway St Ste 130, Pearland, TX 77581 Phone: 281-997-8509 | |
Laura Mitchell, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1906 Lantana Spring Ln, Pearland, TX 77581 Phone: 985-803-0302 | |
Gina Petry, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2012 Creek Shore Ln, Pearland, TX 77581 Phone: 832-628-1955 | |
Kelsey Marie Orsak, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9330 Broadway St Ste 312, Pearland, TX 77584 Phone: 832-856-6241 | |
Lance Montgomery, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2011 Broadway St Ste 130, Pearland, TX 77581 Phone: 281-997-8509 Fax: 888-449-0039 |