Individual ProviderLara BernardoOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9514 Console Dr, San Antonio, TX 78229-2069(210) 448-9111PECOS EnrollmentBased on the most recent information from CMS, provider Lara Bernardo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1124835236Provider TypeIndividualFull NameBernardo, LaraGenderFemaleSole ProprietorYesEnumeration Date12/12/2024Last Updated12/12/2024Contact InformationPractice LocationPractice Address9514 Console Dr, San Antonio, TX 78229-2069Phone(210) 448-9111Fax(210) 308-9595Mailing LocationMailing Address9514 Console Dr, San Antonio, TX 78229-2069PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense125227Texas