Individual ProviderMichaela Dentler-MunozOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1905 Leary Ln, Victoria, TX 77901-2899(361) 573-0731PECOS EnrollmentBased on the most recent information from CMS, provider Michaela Dentler-Munoz 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 ID1578289419Provider TypeIndividualFull NameDentler-Munoz, MichaelaCredentialOTRGenderFemaleSole ProprietorNoEnumeration Date10/12/2022Last Updated10/12/2022Contact InformationPractice LocationPractice Address1905 Leary Ln, Victoria, TX 77901-2899Phone(361) 573-0731Fax(361) 573-1594Mailing LocationMailing Address1905 Leary Ln, Victoria, TX 77901-2899Phone(361) 573-0731Fax(361) 573-1594Provider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense121395Texas