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NPI Code Detail

MEDICARE: MRS. ROGENIA MEANS BONDS OTR

MEDICARE: MRS. ROGENIA MEANS BONDS 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
1225X00000XOccupational Therapist100220TX

General Provider Information

NPI Number : 1669501193
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROGENIA MEANS BONDS OTR
Provider Business Mailing Address
First Line : 14622 POWELL DR
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78410-5523
Country : US
Telephone Number : 361-387-1702
Fax Number :
Provider Business Practice Location Address
First Line : 4402 CASTENON ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78416-1431
Country : US
Telephone Number : 361-878-1741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. ROGENIA MEANS BONDS OTR” Practice Location

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