Mary Lane Garmon, OT

Individual provider Active NPI Occupational Therapist · Aledo, TX

NPI 1447207683 · NPPES record last updated Jul 11, 2008

Key facts

NPI
1447207683
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
105666 (TX)
Practice address
1514 Old Annetta Rd
Aledo, TX 76008-3855
Phone
(817) 694-3573
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Something Amazing Home Therapy, LLC Current
since Apr 14, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 105666 TX Yes

Addresses

Primary practice location

1514 Old Annetta Rd
Aledo, TX 76008-3855

Mailing address

PO Box 716
Aledo, TX 76008-0716
Phone (817) 694-3573

Other providers in Aledo, TX

All providers in Aledo, TX · Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.