| Dr Lyddia Revell, DSC | |
|
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 | |
| (262) 501-9788 | |
| Not Available |
| Full Name | Dr Lyddia Revell |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275982092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5857-26 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lyddia Revell, DSC 419 Belmont Unit 1, San Antonio, TX 78202-3135 Ph: (262) 501-9788 | Dr Lyddia Revell, DSC 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Ph: (262) 501-9788 |
Nichole M Haese, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-9297 | |
Corinne Heffernan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-7500 | |
Aimee Hightower Toreno, OTD, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-9817 |