| Vachonna S Durall, OTR | |
|
4701 Ratcliffe Dr, Kyle, TX 78640-6436 | |
| (512) 920-6400 | |
| Not Available |
| Full Name | Vachonna S Durall |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4701 Ratcliffe Dr, Kyle, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295545820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 124247 (Texas) | Primary |
| Provider Name | Empowerme Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1255900296 PECOS PAC ID: 2769723162 Enrollment ID: O20211006001271 |
| Mailing Address | Practice Location Address |
|---|---|
| Vachonna S Durall, OTR 715 W Slaughter Ln Apt 713, Austin, TX 78748-2097 Ph: (337) 967-6251 | Vachonna S Durall, OTR 4701 Ratcliffe Dr, Kyle, TX 78640-6436 Ph: (512) 920-6400 |
Ms. Nicole Anne Brodhead, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 S Old Highway 81, Kyle, TX 78640 Phone: 512-504-3035 Fax: 512-504-9287 | |
Loren Nicole Moses, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 S Old Highway 81, Kyle, TX 78640 Phone: 512-504-3035 Fax: 512-504-9287 | |
Keith Tisdell, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 189 Decker, Kyle, TX 78640 Phone: 954-328-5436 | |
Ms. Susan Jean Nickelson, OTRIL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 S Old Highway 81, Kyle, TX 78640 Phone: 512-504-3035 Fax: 512-504-9287 | |
Stacy Rayann Bustos, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 Ashwood S, Kyle, TX 78640 Phone: 281-851-3086 | |
Logan Long, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5980 Kyle Pkwy, Kyle, TX 78640 Phone: 512-308-3015 |