MEDICARE: ALBERT C ALBERT OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	106283	TX

General Provider Information

NPI Number	:	1265631345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT C ALBERT OTR

Provider Business Mailing Address
First Line	:	4723 ORKNEY DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2809
Country	:	US
Telephone Number	:	713-960-3253
Fax Number	:	281-710-7866

Provider Business Practice Location Address
First Line	:	4723 ORKNEY DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2809
Country	:	US
Telephone Number	:	713-960-3253
Fax Number	:	281-710-7866

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	07/17/2007

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