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Organization
PUR OCCUPATIONAL THERAPY SERVICES LLC
Active
Organization
PUR OCCUPATIONAL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVARRE GREEN OTR/L (OCCUPATIONAL THERAPIST)
(504) 300-7425
Entity
Organization
Contact information
Practice address
9939 FREDERICKSBURG RD APT 1815, SAN ANTONIO, TX 78240-4158
(726) 336-1818
Mailing address
9939 FREDERICKSBURG RD APT 1815, SAN ANTONIO, TX 78240-4158
(726) 336-1818
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1000X
Migrant Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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