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Adrienne Terese Gaither

Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

2203 Babcock Rd., Easter Seals, San Antonio, TX 78229

PECOS Enrollment

Based on the most recent information from CMS, provider Adrienne Terese Gaither 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
1477622645
Provider Type
Individual
Full Name
Gaither, Adrienne Terese
Title
Mrs.
Credential
OTR

Gender
Female
Sole Proprietor
No
Enumeration Date
11/6/2006
Last Updated
10/29/2012

Contact Information

Practice Location

2203 Babcock Rd., Easter Seals, San Antonio, TX 78229

(210) 614-3911

Unlisted Fax

Mailing Location

11230 Rocky Trl, San Antonio, TX 78249-4144

(210) 218-2127

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225X00000X Primary	Description Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 107792 Texas

Provider Identifiers

ID	Description	Issuer
ID 8T4121	Description Other	Issuer BLUE CROSS BLUE SHEILD ID Texas
ID 050551331	Description Other	Issuer TAX ID Texas

Adrienne Terese Gaither

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

ID

Description

Issuer

Garcia Luquis, Keila

Harris, Derrick

King, Lauren Nicole

Garcia, Katherine Charles

Loudermilk, Myriam

Santiago, Sophia Julie-Ann

Plasencia, Catherine

Blake, Orville Livingstone

Knitt, Mary E.

Clegg, Autumn Dawn