| Larissa J Ellis Duck, OT | |
|
1901 N Amburn Rd, Texas City, TX 77591-2488 | |
| (409) 933-1687 | |
| (409) 933-1687 |
| Full Name | Larissa J Ellis Duck |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1901 N Amburn Rd, Texas City, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245542141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 110377 (Texas) | Primary |
| 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 |
|---|---|
| Larissa J Ellis Duck, OT 2222 Sullivan Trl, Easton, PA 18040-7958 Ph: (800) 944-9782 | Larissa J Ellis Duck, OT 1901 N Amburn Rd, Texas City, TX 77591-2488 Ph: (409) 933-1687 |
Delisa Samuels, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 230 S Rose St, Texas City, TX 77591 Phone: 409-939-4068 | |
Errick L Ratliff, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 N Amburn Rd, Texas City, TX 77591 Phone: 409-933-1687 Fax: 409-933-1687 | |
Ms. Lisa Dotson Ward, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5011 Oak Ln, Texas City, TX 77591 Phone: 409-789-4307 | |
Mrs. Paula Mccomb, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 N Amburn Rd, Texas City, TX 77591 Phone: 409-935-6620 | |
Trisha Bryant, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2801 Fm 2004 Rd Apt 1303, Texas City, TX 77591 Phone: 409-256-8563 Fax: 409-949-9151 | |
Lori G Folse, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4205 Blackhawk Dr, Texas City, TX 77590 Phone: 409-370-3970 |