Individual
MRS. ALISA L LARUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1030 E HIGHWAY 377 STE 202, GRANBURY, TX 76048-1460
(817) 279-6646
Mailing address
1030 E HIGHWAY 377 STE 202, GRANBURY, TX 76048-1460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111982
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201563801
—
TX
01
—
822T67
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/13/2009
Last updated
11/07/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us