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Pamela Tarbutton

Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

2203 Babcock Rd, San Antonio, TX 78229-4412

PECOS Enrollment

Based on the most recent information from CMS, provider Pamela Tarbutton does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1184830424
Provider Type
Individual
Full Name
Tarbutton, Pamela
Credential
OT

Gender
Female
Sole Proprietor
No
Enumeration Date
5/15/2007
Last Updated
7/8/2007

Contact Information

Practice Location

2203 Babcock Rd, San Antonio, TX 78229-4412

(210) 614-3911

(210) 616-0443

Mailing Location

2203 Babcock Rd, San Antonio, TX 78229-4412

(210) 614-3911

(210) 616-0443

Provider Taxonomies

Code	Description	License
Code 225X00000X Primary	Description Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 112162 Texas

Provider Identifiers

ID	Description	Issuer
ID 183695901	Description Medicaid	Issuer Unlisted Texas

Pamela Tarbutton

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Kinnunen, Janet M

Vidola, Johanna L.

Gonzalez, Maria Isabel

Campos, Pamela

Morgan, Susan

Rodriguez, Maria Milagros

Wright, Sara Elizabeth

Garcia, Katherine Charles

Roca, Margaretha

Baley, Meghan Elizabeth