Pearson Pediatric Ot Services | |
3718 Summerhill Rd, Texarkana, TX 75503-3566 | |
(903) 793-6135 | |
(903) 793-0053 |
Full Name | Pearson Pediatric Ot Services |
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Type | Facility |
Speciality | Pediatrics |
Location | 3718 Summerhill Rd, Texarkana, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629356027 | NPI | - | NPPES |
037620 | Other | TX | UNITED HEALTHCARE |
5G636 | Other | AR | BCBS AR |
189105742 | Medicaid | AR | |
0032XH | Other | TX | BCBS TX |
004487701 | Medicaid | TX | |
004487702 | Medicaid | TX | |
1257420 | Other | TX | AMERICAN SPECIALTY HEATH CIGNA |
Provider Name | Rachel Ann Grimmett |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013434943 PECOS PAC ID: 0345515938 Enrollment ID: I20171007000064 |
Provider Name | Madora Dorie Pearson |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174620850 PECOS PAC ID: 7719394253 Enrollment ID: I20210329001233 |
Provider Name | Cynthia Briana Odom |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1194031823 PECOS PAC ID: 4183021082 Enrollment ID: I20210920002309 |
Provider Name | Jo Sarah Harrell |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1477290658 PECOS PAC ID: 6406222900 Enrollment ID: I20221025002930 |
Provider Name | Kylie Danielle Hinton |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285912667 PECOS PAC ID: 4082080585 Enrollment ID: I20221025003090 |
Provider Name | Jayla Rose Jacques |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1972106607 PECOS PAC ID: 1153737481 Enrollment ID: I20221025003119 |
Provider Name | Donna K Kneipp-lingle |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1831304617 PECOS PAC ID: 2860868205 Enrollment ID: I20221026001452 |
Provider Name | Shelby Clark |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730808494 PECOS PAC ID: 2163890047 Enrollment ID: I20221128000536 |
Provider Name | Martha Jennings |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023391794 PECOS PAC ID: 1658740261 Enrollment ID: I20221202002190 |
Mailing Address | Practice Location Address |
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Pearson Pediatric Ot Services 3718 Summerhill Rd, Texarkana, TX 75503-3566 Ph: (903) 793-6135 | Pearson Pediatric Ot Services 3718 Summerhill Rd, Texarkana, TX 75503-3566 Ph: (903) 793-6135 |