| Mustard Seeds Therapy | |
|
212 N. Oak Street, Roanoke, TX 76262 | |
| (817) 541-7770 | |
| Not Available |
| Full Name | Mustard Seeds Therapy |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 212 N. Oak Street, Roanoke, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093135402 | NPI | - | NPPES |
| 107888 | Other | TX | OCCUPATIONAL THERAPY LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 107888 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mustard Seeds Therapy 212 N. Oak Street, Roanoke, TX 76262 Ph: (817) 541-7770 | Mustard Seeds Therapy 212 N. Oak Street, Roanoke, TX 76262 Ph: (817) 541-7770 |
Mr. Scott Eugene Thomas, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15525 Adlong Dr, Roanoke, TX 76262 Phone: 817-400-6496 | |
Mrs. Melanie Brown, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 409 N Oak St Ste 220, Roanoke, TX 76262 Phone: 682-502-4440 Fax: 682-502-4490 |